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Wisconsin 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
$160.66 / $160.66 / $179.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $475.60 / $837.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $680.15 / $2,094.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.05 / $233.77 / $310.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.72 / $952.06 / $1,081.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$717.20 / $717.20 / $717.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.66 / $921.22 / $3,348.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.47 / $190.52 / $494.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.35 / $778.07 / $1,326.78
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$182.43 / $717.20 / $717.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.16 / $1,834.75 / $3,348.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.47 / $1,696.47 / $2,650.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.35 / $777.56 / $1,577.91