go back

Illinois 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
$68.62 / $105.92 / $161.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.55 / $404.35 / $1,190.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.15 / $120.06 / $342.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$378.96 / $1,218.00 / $1,218.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.87 / $141.08 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.21 / $265.00 / $441.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $185.08 / $309.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.99 / $60.68 / $90.41
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.15 / $172.15 / $172.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.64 / $240.29 / $460.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.71 / $85.71 / $85.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.92 / $339.20 / $713.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.50 / $90.08 / $135.91
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $343.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.97 / $234.95 / $572.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.80 / $362.88 / $2,300.58
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.33 / $109.98 / $420.20
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.94 / $254.02 / $1,944.08
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
$244.54 / $249.57 / $269.57
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.73 / $79.43 / $83.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.11 / $171.85 / $185.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $87.64 / $282.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.36 / $395.35 / $667.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.37 / $84.44 / $135.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.60 / $272.74 / $565.88