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Idaho 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
$112.28 / $283.30 / $293.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.03 / $522.50 / $1,003.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.72 / $140.00 / $246.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $348.53 / $756.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.26 / $309.88 / $711.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.76 / $72.38 / $146.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.50 / $237.50 / $577.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.15 / $1,700.15 / $2,517.88
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$415.26 / $415.26 / $634.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,065.49 / $1,065.49 / $2,102.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.36 / $580.77 / $766.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.22 / $140.72 / $164.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$382.14 / $440.04 / $514.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $138.59 / $491.63
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,387.45 / $1,387.45 / $1,387.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.04 / $662.40 / $766.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.34 / $156.87 / $188.64
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.70 / $505.53 / $578.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.66 / $419.81 / $885.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.42 / $83.73 / $157.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.49 / $352.39 / $726.78