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Illinois rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.67 / $134.00 / $192.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.47 / $475.00 / $952.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.67 / $140.00 / $332.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.76 / $335.00 / $485.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $227.60 / $283.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.54 / $71.48 / $109.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.74 / $165.74 / $165.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $363.94 / $697.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.71 / $100.71 / $100.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.08 / $491.53 / $875.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.93 / $107.66 / $160.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.96 / $371.11 / $738.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.59 / $551.39 / $2,387.17
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.63 / $131.81 / $618.92
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.89 / $423.36 / $1,900.98
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.37 / $380.59 / $409.60
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.24 / $95.20 / $100.35
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.18 / $287.33 / $309.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $104.98 / $428.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.13 / $557.04 / $874.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.81 / $101.24 / $158.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.04 / $430.79 / $698.75