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Missouri 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
$91.95 / $125.95 / $177.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.75 / $475.00 / $2,051.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.24 / $140.00 / $449.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.92 / $359.11 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.55 / $234.12 / $465.56
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.02 / $85.54 / $121.56
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.06 / $199.06 / $199.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.15 / $415.73 / $947.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.58 / $94.49 / $167.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.57 / $335.53 / $822.89
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
$272.08 / $506.84 / $929.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.26 / $109.83 / $191.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.14 / $402.81 / $785.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$558.79 / $723.52 / $723.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.63 / $612.41 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.92 / $114.37 / $586.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.43 / $506.10 / $2,941.88
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.39 / $535.39 / $535.39
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.79 / $139.79 / $139.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.42 / $519.90 / $900.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.36 / $97.85 / $167.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.85 / $383.95 / $871.96