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Texas rates for HCPCS 73221

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

Facilitymedian $83 · 10th–90th $52$4070%20%10th90th$83Professionalmedian $204 · 10th–90th $65$6310%5%10th90th$204$10.0$50.0$200.0$1.0K

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
$52.48 / $83.18 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$107.15 / $107.15 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $239.88 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $131.83 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $158.49 / $218.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $645.65
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $371.54 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $263.03 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $102.33 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$107.15 / $107.15 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $234.42 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $194.98 / $575.44
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $74.13 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $371.54 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $134.90
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $263.03 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $70.79 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $213.80 / $524.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $64.57 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $141.25 / $169.82