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Virginia rates for HCPCS 73221

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

Facilitymedian $126 · 10th–90th $105$2630%20%10th90th$126Professionalmedian $204 · 10th–90th $66$5890%5%10th90th$204$20.0$100.0$500.0$2.0K$10.0K

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
$104.71 / $125.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $316.23 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $117.49 / $275.42
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,380.38 / $3,235.94 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $275.42 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $81.28 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$295.12 / $416.87 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $190.55 / $338.84
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $302.00 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $79.43 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $234.42 / $316.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $416.87 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $79.43 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $302.00 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $72.44 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $169.82 / $223.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $758.58
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $446.68
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $338.84 / $1,862.09
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $87.10 / $131.83
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $302.00 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $77.62 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $245.47 / $660.69