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Missouri rates for HCPCS 73503

Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.49 / $18.14 / $29.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $56.12 / $132.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.49 / $13.40 / $47.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.61 / $42.57 / $101.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.04 / $45.04 / $45.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.85 / $12.42 / $17.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.49 / $39.49 / $39.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $60.08 / $103.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.87 / $17.48 / $28.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.66 / $90.12 / $155.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.57 / $43.26 / $74.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.00 / $15.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $69.20 / $118.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.50 / $18.82 / $29.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.78 / $50.25 / $90.97
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.19 / $70.00 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $67.73 / $379.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.37 / $17.36 / $83.23
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.20 / $48.35 / $296.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $63.88 / $108.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.10 / $16.69 / $28.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.79 / $44.37 / $78.86