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Tennessee 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
$92.86 / $142.19 / $331.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.58 / $425.00 / $725.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.31 / $103.70 / $192.70
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
$125.00 / $167.56 / $244.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $259.35 / $435.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.57 / $238.17 / $442.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.37 / $65.13 / $147.35
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.19 / $99.19 / $253.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $377.59 / $703.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.33 / $100.66 / $162.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.44 / $281.07 / $587.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.73 / $66.73 / $73.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.69 / $426.69 / $725.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.10 / $95.27 / $155.88
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$343.71 / $343.71 / $343.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.61 / $300.52 / $607.07
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$586.88 / $586.88 / $603.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,789.74 / $2,873.43 / $2,873.43
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$542.85 / $542.85 / $542.85
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,451.15 / $2,524.69 / $2,524.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $343.04 / $580.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.45 / $80.42 / $140.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.82 / $245.43 / $449.22