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Pennsylvania rates for HCPCS 73719

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.20 / $141.49 / $403.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.17 / $420.00 / $516.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.59 / $158.59 / $315.94
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $267.74 / $712.99
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.60 / $87.60 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $515.00 / $988.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.55 / $413.46 / $1,466.01
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.20 / $165.06 / $412.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.94 / $425.00 / $1,037.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.69 / $273.95 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.01 / $87.60 / $87.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.74 / $500.00 / $927.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.01 / $76.01 / $89.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.38 / $263.48 / $589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.52 / $397.93 / $688.28