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Michigan 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
$79.43 / $83.18 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $371.54 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $123.03 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$660.69 / $1,230.27 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$407.38 / $512.86 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $263.03 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $75.86 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $125.89 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $512.86 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $138.04
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$660.69 / $660.69 / $891.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $165.96 / $288.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $426.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $85.11 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $295.12 / $524.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.43 / $83.18 / $158.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $398.11 / $1,023.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $107.15 / $275.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$660.69 / $1,230.27 / $1,230.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$407.38 / $512.86 / $524.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $281.84 / $537.03
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $72.44 / $104.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $363.08 / $741.31
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $70.79 / $144.54
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $263.03 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $72.44 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $194.98 / $467.74