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Illinois 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
$67.61 / $104.71 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $371.54 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $120.23 / $363.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$323.59 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$61.66 / $151.36 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $275.42 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $52.48 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $107.15 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $239.88 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $257.04 / $602.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $588.84 / $2,398.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $128.82 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $446.68 / $1,949.84
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $79.43 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $173.78 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $81.28 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $263.03 / $588.84