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Pennsylvania rates for HCPCS 73718

Mri Lower Extrem Oth/Thn Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.47 / $95.71 / $241.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.26 / $425.00 / $1,701.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.47 / $132.88 / $364.04
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.91 / $712.50 / $712.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.32 / $299.00 / $596.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.08 / $173.14 / $227.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.37 / $65.69 / $105.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.24 / $115.24 / $191.89
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.00 / $81.45 / $922.27
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.17 / $378.74 / $819.35
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.79 / $103.83 / $156.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$478.34 / $757.48 / $1,638.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.39 / $270.69 / $700.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.95 / $72.95 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $446.80 / $845.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.31 / $77.87 / $129.00
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.09 / $386.61 / $386.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.80 / $340.57 / $732.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.00 / $350.32 / $1,285.07
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.78 / $83.80 / $132.29
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.22 / $230.66 / $328.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.14 / $284.29 / $591.76
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.89 / $78.69 / $112.59
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$568.55 / $568.55 / $568.55
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.55 / $243.82 / $292.58
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.04 / $81.45 / $922.27
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.47 / $92.19 / $249.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.79 / $425.00 / $1,657.54
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.47 / $126.00 / $351.38
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.91 / $712.50 / $712.50
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.32 / $299.00 / $708.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $232.06 / $640.70
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.19 / $72.95 / $72.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.80 / $434.56 / $841.79
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.47 / $77.65 / $130.15
Priority Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.09 / $386.61 / $410.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.63 / $337.21 / $692.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.39 / $63.39 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.82 / $224.30 / $506.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.77 / $63.41 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.41 / $160.91 / $417.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.47 / $322.79 / $613.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.46 / $75.83 / $141.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.53 / $250.54 / $539.88