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Arkansas rates for HCPCS 73223

Mri Any Jt Upper Extremity W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.89 / $162.26 / $177.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $654.69 / $867.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.00 / $157.90 / $199.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $476.63 / $615.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.04 / $577.04 / $577.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$158.86 / $168.79 / $187.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.15 / $581.23 / $645.80
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.46 / $146.19 / $162.44
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$328.69 / $435.03 / $483.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.97 / $680.00 / $1,506.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.29 / $146.87 / $219.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.68 / $522.82 / $1,368.55
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.60 / $663.60 / $663.60
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.69 / $194.11 / $215.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.13 / $692.09 / $1,234.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.74 / $121.87 / $201.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$324.89 / $514.63 / $949.93