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Alaska rates for HCPCS 73222

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$241.41 / $461.30 / $591.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $533.05 / $1,720.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $473.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,247.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.63 / $1,025.00 / $1,189.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.79 / $266.88 / $307.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$356.84 / $717.50 / $922.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.24 / $917.01 / $1,995.13
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$185.18 / $227.07 / $561.00
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.26 / $694.80 / $1,434.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.25 / $1,370.25 / $2,299.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$286.25 / $309.14 / $522.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$895.00 / $1,059.50 / $1,781.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.52 / $1,208.75 / $2,257.50
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$248.74 / $348.00 / $518.52
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$803.11 / $1,195.50 / $1,781.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.32 / $1,307.09 / $1,885.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.28 / $286.14 / $474.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$642.48 / $963.72 / $1,413.75