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Texas 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
$52.98 / $82.93 / $99.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $347.02 / $895.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.32 / $99.22 / $254.90
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
$97.81 / $144.24 / $273.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.80 / $232.06 / $441.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $168.86 / $342.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.61 / $62.58 / $118.49
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$230.27 / $230.27 / $230.27
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.18 / $104.90 / $279.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $155.09 / $243.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.89 / $288.00 / $525.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.15 / $64.56 / $115.72
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
$172.39 / $363.68 / $729.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.58 / $77.95 / $141.49
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $366.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.64 / $262.25 / $574.75
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.08 / $586.88 / $603.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.00 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $294.49 / $802.20
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.31 / $101.94 / $247.12
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$345.56 / $345.56 / $416.80
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$227.18 / $227.18 / $227.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.40 / $228.97 / $555.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $169.55 / $374.60
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
$179.42 / $375.00 / $681.02
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.75 / $77.95 / $141.49
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.78 / $262.50 / $553.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $303.55 / $595.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $70.06 / $133.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $212.07 / $424.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.16 / $191.89 / $272.36
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.73 / $60.76 / $83.89
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.44 / $138.40 / $1,400.00