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Iowa 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
$68.15 / $129.47 / $207.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $322.79 / $1,423.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.55 / $126.31 / $314.92
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,218.00 / $1,218.00 / $1,218.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$103.87 / $144.24 / $248.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.55 / $335.00 / $631.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$206.70 / $212.90 / $219.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.76 / $563.69 / $1,141.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $145.83 / $202.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.62 / $394.41 / $973.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.36 / $335.88 / $1,375.14
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.62 / $96.66 / $215.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.73 / $228.51 / $1,195.98
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.08 / $603.28 / $603.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.48 / $453.56 / $2,789.74
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.25 / $115.23 / $542.85
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.12 / $295.20 / $2,451.15
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$212.90 / $219.10 / $357.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.05 / $506.00 / $874.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.55 / $210.07 / $353.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $375.08 / $665.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.86 / $93.59 / $178.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.97 / $228.38 / $487.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.59 / $461.50 / $543.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.34 / $142.19 / $167.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.33 / $319.39 / $375.70