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Texas rates for HCPCS 73220

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences

Facilitymedian $132 · 10th–90th $83$6460%20%10th90th$132Professionalmedian $347 · 10th–90th $102$7590%5%10th90th$347$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $398.11 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $107.15 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $323.59 / $426.58
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $954.99
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $102.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $117.49 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,047.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,165.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$676.08 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $109.65 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $436.52 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $338.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $389.05 / $954.99
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $117.49 / $169.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $125.89 / $199.53
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $416.87 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $467.74 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $407.38 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $309.03 / $363.08