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New Hampshire 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
$127.50 / $234.43 / $393.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.59 / $140.00 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.16 / $126.87 / $232.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.45 / $808.59 / $1,143.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.66 / $210.79 / $298.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.80 / $597.79 / $857.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.05 / $917.91 / $1,747.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.61 / $207.91 / $302.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.39 / $693.04 / $1,488.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.25 / $769.97 / $1,427.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.94 / $200.72 / $372.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.31 / $569.25 / $1,055.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.82 / $733.64 / $1,328.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.50 / $142.62 / $324.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.78 / $524.02 / $1,018.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.52 / $595.82 / $878.25
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.84 / $98.10 / $132.69
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$411.11 / $496.91 / $757.08