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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.74 / $114.11 / $114.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.06 / $407.99 / $544.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.74 / $140.00 / $220.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $304.25 / $414.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $115.76 / $115.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.52 / $116.52 / $116.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.45 / $970.62 / $4,357.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.57 / $149.52 / $488.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.44 / $734.02 / $2,340.59
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.41 / $177.11 / $272.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.31 / $1,009.80 / $1,798.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.05 / $139.65 / $250.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.27 / $753.56 / $1,623.00