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North Dakota 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
$82.06 / $82.06 / $131.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.72 / $425.00 / $533.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.79 / $140.00 / $340.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.83 / $335.00 / $414.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.36 / $766.80 / $804.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.58 / $185.82 / $194.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$470.78 / $580.99 / $611.75
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
$457.76 / $649.91 / $1,006.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $140.49 / $197.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.30 / $515.71 / $853.09
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$723.52 / $723.52 / $723.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $738.64 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.73 / $163.60 / $586.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$329.27 / $574.52 / $2,941.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $686.05 / $1,128.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.73 / $151.11 / $204.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$294.79 / $538.80 / $878.43