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Delaware 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
$64.42 / $83.63 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.54 / $425.00 / $578.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.42 / $126.00 / $154.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.35 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.27 / $299.00 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $390.44 / $646.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.07 / $71.05 / $121.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.97 / $297.14 / $558.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.89 / $243.47 / $291.60
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.82 / $80.54 / $662.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.85 / $514.10 / $644.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.01 / $75.92 / $153.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.57 / $360.25 / $556.75