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Connecticut rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.95 / $271.29 / $353.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $2,367.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.82 / $166.95 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $433.05 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.21 / $996.16 / $1,273.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.19 / $180.41 / $222.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.76 / $767.79 / $1,068.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.64 / $773.68 / $1,162.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.12 / $107.67 / $203.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.30 / $657.28 / $962.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.44 / $706.35 / $1,194.85
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.90 / $87.07 / $159.46
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.33 / $339.13 / $579.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.50 / $146.84 / $158.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.51 / $646.19 / $1,160.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.17 / $121.88 / $261.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.23 / $492.06 / $898.75