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Oregon 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
$104.00 / $139.91 / $262.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.41 / $475.00 / $1,190.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.00 / $140.00 / $377.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,218.00 / $1,218.00 / $1,218.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$105.18 / $237.50 / $322.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.74 / $335.00 / $523.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.56 / $444.01 / $700.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.41 / $116.08 / $187.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.44 / $317.83 / $522.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.78 / $458.62 / $560.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.30 / $141.85 / $164.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.70 / $320.93 / $396.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.94 / $471.29 / $833.28
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.94 / $125.96 / $196.20
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.97 / $326.11 / $718.58
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.06 / $126.07 / $130.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.34 / $178.16 / $220.31
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.79 / $117.16 / $137.47
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.84 / $312.06 / $718.62
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.85 / $491.44 / $625.84
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.73 / $117.96 / $188.42
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$245.49 / $245.49 / $246.99
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.44 / $304.47 / $492.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$782.93 / $782.93 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.25 / $494.85 / $620.47
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.51 / $137.26 / $182.87
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.74 / $339.65 / $434.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $388.20 / $668.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.26 / $78.31 / $201.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $267.91 / $467.20