go back

Georgia rates for HCPCS 73221

Mri Any Jt Upper Extremity W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.00 / $99.61 / $789.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.13 / $425.00 / $938.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.83 / $117.27 / $309.10
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,908.64 / $1,908.64 / $1,908.64
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$123.88 / $212.50 / $485.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.29 / $340.00 / $695.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.87 / $178.91 / $316.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.01 / $78.17 / $114.85
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.60 / $238.71 / $238.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $376.65 / $745.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.05 / $84.37 / $174.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$299.16 / $559.87 / $1,121.73
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.25 / $237.30 / $602.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $152.16 / $278.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.12 / $530.00 / $965.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.68 / $112.98 / $194.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.76 / $401.80 / $817.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.51 / $400.92 / $1,395.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.18 / $108.69 / $239.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$183.58 / $183.58 / $257.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.33 / $276.95 / $1,307.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.53 / $209.10 / $374.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.28 / $396.95 / $804.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.23 / $86.08 / $161.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.38 / $273.04 / $641.29