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Ohio rates for HCPCS 73222

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)

Facilitymedian $105 · 10th–90th $81$1510%20%10th90th$105Professionalmedian $275 · 10th–90th $87$6920%10%10th90th$275$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $104.71 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $346.74 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $75.86 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $186.21 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $89.13 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $331.13 / $549.54
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $588.84
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $147.91
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $281.84 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $269.15 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $389.05 / $776.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $87.10 / $125.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $489.78 / $912.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $104.71 / $186.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $354.81 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $245.47
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $537.03
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $95.50 / $162.18
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $147.91 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $87.10 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $316.23 / $645.65