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Indiana 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
$103.64 / $103.64 / $160.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.56 / $415.73 / $608.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.18 / $131.22 / $262.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.16 / $289.57 / $392.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.08 / $247.20 / $267.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.75 / $97.08 / $142.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.02 / $240.02 / $240.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.77 / $547.27 / $777.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.40 / $102.77 / $159.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$340.00 / $444.50 / $631.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.42 / $254.75 / $401.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.17 / $116.17 / $116.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.71 / $774.32 / $1,515.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.36 / $128.63 / $224.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.27 / $649.78 / $1,323.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.65 / $590.29 / $1,225.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.95 / $109.80 / $224.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.74 / $453.29 / $967.38