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Wisconsin rates for HCPCS 73221

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

Facilitymedian $174 · 10th–90th $135$3310%10%20%10th90th$174Professionalmedian $275 · 10th–90th $74$9120%5%10th90th$275$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
$134.90 / $173.78 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $436.52 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $147.91 / $707.95
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 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $309.03 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $389.05 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $102.33 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $288.40 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $194.98 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $645.65 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $169.82 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $467.74 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $457.09 / $616.60
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $141.25 / $190.55
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $691.83 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $316.23 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $616.60 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $177.83 / $537.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $446.68 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $512.86
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $616.60 / $912.01
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $151.36 / $257.04
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $512.86 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $512.86 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $588.84 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,621.81 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $338.84 / $537.03
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $1,380.38 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $407.38 / $831.76
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$831.76 / $1,380.38 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,023.29 / $1,621.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $234.42 / $489.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $512.86 / $1,230.27