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Alaska rates for HCPCS 73221

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$202.17 / $495.41 / $594.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.02 / $522.50 / $1,123.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $396.33
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$238.66 / $238.66 / $238.66
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$447.60 / $561.52 / $561.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $726.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.04 / $753.60 / $900.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.65 / $222.74 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.39 / $530.86 / $630.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.38 / $601.65 / $1,471.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.44 / $189.29 / $467.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.49 / $416.31 / $845.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.00 / $871.00 / $1,446.05
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.75 / $257.85 / $436.50
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$536.25 / $617.50 / $1,034.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $782.50 / $1,413.30
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.71 / $292.50 / $435.83
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$526.79 / $678.00 / $1,010.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.02 / $834.03 / $1,181.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.89 / $287.91 / $407.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$364.08 / $549.25 / $773.67