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Maryland 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
$119.74 / $126.00 / $162.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $475.00 / $1,785.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.61 / $140.00 / $439.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $1,501.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.14 / $666.83 / $967.48
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.26 / $116.26 / $132.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$495.51 / $550.57 / $864.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.29 / $682.05 / $1,357.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.78 / $121.44 / $236.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.43 / $537.23 / $1,093.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.06 / $522.53 / $883.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.63 / $122.67 / $168.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.85 / $389.39 / $667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.17 / $547.97 / $1,066.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.02 / $102.76 / $178.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.62 / $455.75 / $939.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.05 / $441.61 / $574.09
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.58 / $108.12 / $140.56
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.48 / $333.50 / $426.35