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Virginia rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $155.65 / $242.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.37 / $475.00 / $683.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $126.00 / $166.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.83 / $340.00 / $487.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.18 / $380.03 / $628.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.84 / $85.79 / $136.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.80 / $290.02 / $479.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.07 / $539.55 / $1,857.85
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.68 / $88.78 / $110.97
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$439.20 / $450.78 / $631.09
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
$296.83 / $585.27 / $962.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.64 / $101.75 / $184.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.34 / $482.71 / $763.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.63 / $364.35 / $446.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.98 / $85.23 / $103.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.64 / $281.57 / $345.06
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.86 / $133.00 / $240.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $464.00 / $824.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $537.96 / $870.54
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.81 / $110.13 / $174.38
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.91 / $476.42 / $645.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.56 / $479.09 / $835.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.26 / $98.67 / $157.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.99 / $396.58 / $698.68