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Illinois rates for HCPCS 73720

Mri Lower Extrem Oth/Thn Jt W/O & W/Contr Matr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.07 / $175.25 / $254.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.91 / $475.00 / $1,079.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.06 / $142.13 / $386.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.75 / $335.00 / $572.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $256.76 / $344.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.75 / $123.01 / $145.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $396.98 / $761.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.28 / $132.28 / $132.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.96 / $571.38 / $1,273.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.29 / $139.96 / $211.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.27 / $408.07 / $1,134.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.18 / $600.05 / $3,166.48
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.40 / $176.26 / $694.51
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.39 / $425.72 / $2,529.33
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.00 / $412.43 / $445.76
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.47 / $127.30 / $134.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.72 / $288.95 / $310.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $141.00 / $466.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.14 / $660.48 / $1,237.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.20 / $133.18 / $204.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.77 / $480.41 / $915.85