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Nebraska rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.19 / $248.09 / $671.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.71 / $475.00 / $2,069.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.19 / $172.94 / $380.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.53 / $335.00 / $1,343.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.39 / $131.15 / $172.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.47 / $594.79 / $634.90
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.11 / $145.47 / $153.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$420.36 / $449.31 / $481.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$429.36 / $429.36 / $429.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.97 / $712.11 / $1,046.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.95 / $170.54 / $219.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.01 / $541.55 / $810.60
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
$510.57 / $682.37 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.81 / $157.29 / $586.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.50 / $551.02 / $2,941.88
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$249.26 / $256.52 / $429.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.65 / $774.52 / $1,069.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $288.64 / $515.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.44 / $655.92 / $850.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.26 / $155.80 / $198.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$313.20 / $522.13 / $652.50