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Virginia 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
$118.59 / $169.19 / $309.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.50 / $833.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.29 / $140.00 / $182.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.80 / $348.53 / $568.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.25 / $469.64 / $763.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.63 / $113.54 / $178.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.13 / $350.56 / $579.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.39 / $666.83 / $3,315.22
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.38 / $116.26 / $145.33
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$530.87 / $550.57 / $864.22
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
$366.93 / $808.04 / $1,412.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.86 / $134.59 / $241.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $619.63 / $1,216.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.37 / $450.44 / $552.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.90 / $113.53 / $136.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.48 / $340.17 / $416.88
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.59 / $177.00 / $317.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.37 / $578.00 / $1,126.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.84 / $669.39 / $1,321.04
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.98 / $145.01 / $229.62
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.05 / $602.42 / $847.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.22 / $601.36 / $1,365.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.34 / $128.36 / $197.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.91 / $478.67 / $1,114.05