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Texas rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.48 / $83.15 / $119.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.08 / $447.61 / $782.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.48 / $111.15 / $180.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.60 / $335.00 / $480.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.75 / $291.70 / $522.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.29 / $102.32 / $142.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.08 / $175.08 / $175.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $242.64 / $383.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $356.00 / $553.67
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.12 / $72.12 / $78.34
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
$262.80 / $454.14 / $875.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.71 / $91.53 / $163.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.03 / $355.30 / $715.31
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$558.79 / $703.76 / $723.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,348.15 / $3,448.60 / $3,448.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$586.14 / $586.14 / $616.42
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,941.88 / $3,030.13 / $3,030.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $528.00 / $1,214.67
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.29 / $122.22 / $296.27
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.08 / $382.14 / $926.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $281.25 / $569.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.30 / $88.30 / $88.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $483.84 / $915.59
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.42 / $92.21 / $162.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.95 / $342.60 / $696.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.24 / $445.63 / $804.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.03 / $83.73 / $159.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.49 / $345.15 / $647.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $291.70 / $415.26
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.22 / $72.86 / $100.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.66 / $231.04 / $1,400.00