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Rhode Island rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$495.54 / $495.54 / $495.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.88 / $538.48 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.67 / $140.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.20 / $420.00 / $430.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.78 / $458.56 / $875.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.94 / $109.91 / $152.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.06 / $348.65 / $402.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.89 / $665.99 / $789.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.11 / $155.88 / $165.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.90 / $510.11 / $628.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $523.38 / $733.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.17 / $94.08 / $164.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.60 / $422.90 / $758.19