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Montana rates for HCPCS 73221

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

Facilitymedian $123 · 10th–90th $100$2090%20%10th90th$123Professionalmedian $229 · 10th–90th $66$6610%5%10th90th$229$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $407.38 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $128.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $338.84 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $331.13 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $380.19 / $758.58
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $123.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $575.44
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $147.91
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $239.88 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $60.26 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $251.19 / $501.19