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South Carolina rates for HCPCS 73221

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

Facilitymedian $79 · 10th–90th $79$980%50%90th$79Professionalmedian $214 · 10th–90th $72$7410%5%10th90th$214$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $371.54 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $117.49 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $263.03 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $190.55 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $48.98 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $181.97 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $416.87 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $125.89 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $288.40 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $457.09 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $87.10 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $354.81 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $77.62 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $269.15 / $660.69