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Missouri rates for HCPCS 73221

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)

Facilitymedian $117 · 10th–90th $79$3160%10%20%10th90th$117Professionalmedian $195 · 10th–90th $65$6170%5%10th90th$195$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $302.00 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $114.82 / $288.40
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$288.40 / $660.69 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$107.15 / $107.15 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $257.04 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $158.49 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $48.98 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $190.55 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $83.18 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$316.23 / $398.11 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $186.21 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $70.79 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $154.88 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $371.54 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $269.15 / $660.69
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$467.74 / $602.56 / $602.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $457.09 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $537.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $323.59 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $81.28 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $213.80 / $524.81