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Virginia 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 $191 · 10th–90th $117$4070%10%20%10th90th$191Professionalmedian $355 · 10th–90th $117$8510%5%10th90th$355$20.0$100.0$500.0$2.0K$10.0K

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
$117.49 / $190.55 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $501.19 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $162.18 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $389.05 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $562.34 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $436.52 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $549.54 / $3,090.30
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $141.25 / $213.80
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $524.81 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $758.58 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $125.89 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $602.56 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $114.82 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $371.54 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,548.82 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $190.55 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $707.95
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $616.60 / $1,380.38
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $138.04 / $223.87
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $524.81 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $691.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $120.23 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $537.03 / $1,202.26