go back

Michigan 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
$131.62 / $131.62 / $138.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.28 / $497.93 / $699.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.00 / $140.00 / $305.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.45 / $366.30 / $500.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.16 / $101.30 / $145.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.88 / $623.41 / $1,456.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.44 / $162.44 / $162.44
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$460.70 / $460.70 / $460.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.87 / $116.87 / $116.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.67 / $763.12 / $1,254.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.92 / $122.39 / $250.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.60 / $556.38 / $1,071.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.90 / $131.62 / $136.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.90 / $497.93 / $746.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.90 / $131.63 / $234.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.49 / $411.18 / $549.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $287.59 / $426.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.64 / $569.20 / $1,071.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.32 / $110.65 / $167.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.55 / $426.24 / $830.27