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Vermont rates for HCPCS 73221

Mri Any Jt Upper Extremity W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.50 / $127.50 / $154.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$187.50 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.50 / $297.50 / $368.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$395.69 / $395.69 / $395.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.55 / $898.02 / $1,099.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.62 / $84.62 / $271.89
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.56 / $221.56 / $261.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $520.34 / $898.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.37 / $95.29 / $271.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.48 / $231.15 / $680.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $520.34 / $898.02
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.31 / $95.29 / $271.89
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.48 / $231.15 / $632.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.85 / $490.45 / $878.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.11 / $103.25 / $259.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.13 / $341.96 / $690.67