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Delaware rates for HCPCS 73720

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.83 / $133.49 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.34 / $425.00 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $133.25 / $182.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.84 / $299.00 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.96 / $668.44 / $1,264.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $110.41 / $184.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.27 / $571.84 / $1,130.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.06 / $342.06 / $342.06
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.00 / $102.98 / $1,041.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.50 / $540.60 / $1,289.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.30 / $110.49 / $243.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.96 / $545.12 / $1,168.49