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Utah 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 $129 · 10th–90th $129$1290%50%$129Professionalmedian $339 · 10th–90th $129$8510%5%10th90th$339$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $512.86 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $177.83 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $416.87 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $676.08 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $125.89 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $512.86 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $1,071.52
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $165.96 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $537.03 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $630.96 / $1,202.26
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $234.42 / $501.19
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $389.05 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $478.63 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $93.33 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $407.38 / $933.25