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Pennsylvania rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.31 / $126.00 / $241.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.77 / $425.00 / $2,051.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $126.00 / $276.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.92 / $299.00 / $435.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $241.00 / $241.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $67.40 / $144.97
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $406.62 / $675.41
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.19 / $98.32 / $151.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.45 / $306.30 / $531.21
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
$285.02 / $562.21 / $979.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.35 / $93.90 / $154.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.69 / $426.77 / $776.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.01 / $490.19 / $1,416.80
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.10 / $101.05 / $159.46
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.33 / $339.13 / $483.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.94 / $377.18 / $726.40
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.90 / $93.69 / $134.16
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$431.84 / $431.84 / $431.84
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.31 / $115.24 / $374.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.00 / $433.02 / $1,477.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $126.00 / $269.64
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.88 / $307.97 / $559.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.46 / $371.06 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.01 / $88.30 / $88.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.69 / $526.01 / $947.96
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $93.87 / $157.59
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.43 / $393.56 / $766.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.31 / $76.31 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $314.38 / $589.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.41 / $76.31 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.82 / $238.06 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.57 / $469.38 / $732.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.52 / $87.69 / $151.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.58 / $345.15 / $608.91