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Wisconsin 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 $275 · 10th–90th $214$9330%20%10th90th$275Professionalmedian $417 · 10th–90th $112$1,3180%5%10th90th$417$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $239.88 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $501.19 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $436.52 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $660.69 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $158.49 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,148.15 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $239.88 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $954.99 / $1,318.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $223.87 / $302.00
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $691.83 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,174.90 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $234.42 / $676.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $933.25 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $758.58
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,096.48 / $1,584.89
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $239.88 / $407.38
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $812.83 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,023.29 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $933.25 / $933.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $3,388.44 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $524.81 / $676.08
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $3,090.30 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,630.27 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $588.84 / $724.44
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,659.59 / $2,290.87 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,548.82 / $3,311.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $363.08 / $776.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $724.44 / $1,737.80