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Indiana 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
$78.43 / $89.42 / $108.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.77 / $394.62 / $623.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.44 / $99.24 / $165.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.83 / $298.69 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $233.75 / $246.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.11 / $71.39 / $109.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.72 / $271.72 / $271.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.88 / $409.83 / $635.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.80 / $74.30 / $115.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.42 / $335.53 / $520.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $245.08 / $369.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.30 / $88.30 / $88.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.47 / $615.17 / $1,013.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.93 / $99.84 / $169.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.96 / $506.13 / $791.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.22 / $465.00 / $797.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.12 / $84.87 / $154.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.00 / $382.55 / $634.87