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Louisiana rates for HCPCS 73223

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.71 / $110.00 / $171.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $550.00 / $822.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $124.40 / $209.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.87 / $440.00 / $600.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.99 / $342.18 / $342.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.58 / $97.62 / $232.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.50 / $646.21 / $865.41
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.72 / $165.75 / $196.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.78 / $480.46 / $668.66
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.22 / $98.34 / $247.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.53 / $480.01 / $977.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.91 / $120.56 / $204.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.62 / $340.20 / $759.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.10 / $524.99 / $1,122.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.05 / $114.49 / $175.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.05 / $394.77 / $792.70