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South Dakota rates for HCPCS 73222

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

Facilitymedian $78 · 10th–90th $78$780%50%$78Professionalmedian $224 · 10th–90th $76$6310%5%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $125.89 / $338.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $295.12 / $630.96
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $758.58 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $177.83 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $575.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $602.56 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $588.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $512.86 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $676.08 / $831.76
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $162.18 / $190.55
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $512.86 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $151.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $467.74 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $537.03 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $831.76 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $199.53 / $199.53
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $630.96 / $630.96