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Wyoming rates for HCPCS 73220

Mri Upper Extrem Other Than Jt W/O & W/Contras

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.05 / $98.05 / $99.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.68 / $475.00 / $678.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.82 / $140.00 / $237.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.86 / $335.00 / $510.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.00 / $1,809.00 / $3,341.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$260.00 / $427.00 / $788.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$841.00 / $1,382.00 / $2,553.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.38 / $881.58 / $1,700.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.08 / $177.03 / $382.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$508.24 / $666.76 / $1,318.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.30 / $938.93 / $2,247.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.26 / $192.67 / $347.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$540.04 / $727.19 / $1,916.18