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Maryland rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.93 / $126.00 / $151.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $475.00 / $2,069.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $801.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.60 / $539.55 / $610.73
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.45 / $88.78 / $101.47
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$405.70 / $450.78 / $510.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.24 / $547.54 / $883.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.82 / $91.61 / $179.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.60 / $433.26 / $715.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.22 / $422.11 / $714.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.30 / $92.80 / $128.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.89 / $322.36 / $552.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.08 / $433.00 / $772.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.95 / $88.33 / $169.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.27 / $346.62 / $772.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $357.21 / $464.37
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.86 / $81.17 / $105.52
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.91 / $276.05 / $352.89