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Wyoming rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.72 / $73.72 / $75.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $475.00 / $518.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $128.24 / $332.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.88 / $335.00 / $389.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.00 / $1,379.00 / $2,548.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$196.00 / $323.00 / $596.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$643.00 / $1,056.00 / $1,952.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.91 / $670.63 / $1,240.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.40 / $133.63 / $291.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$369.29 / $498.55 / $980.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.42 / $716.73 / $1,584.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.42 / $147.05 / $262.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.40 / $555.13 / $1,334.30