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Missouri rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.72 / $14.45 / $33.88
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$33.11 / $63.10 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $53.70 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $20.89 / $54.95
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$32.36 / $112.20 / $257.04
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $48.98 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.02 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $10.72 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$45.71 / $58.88 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $38.90 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $47.86 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $13.80 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$56.23 / $70.79 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $33.11 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $66.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $12.30 / $18.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $41.69 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $15.14 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $38.90 / $77.62
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$77.62 / $165.96 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $295.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $16.98 / $87.10
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $42.66 / $229.09
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $72.44 / $85.11
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $20.42 / $30.20
Qualchoice
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $109.65 / $120.23
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $56.23 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $75.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $12.59 / $21.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $33.88 / $57.54