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Minnesota 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
$104.04 / $104.04 / $156.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.81 / $475.00 / $1,155.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $140.00 / $548.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.75 / $335.00 / $580.49
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.51 / $85.51 / $85.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.90 / $1,005.91 / $1,220.02
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.62 / $291.13 / $353.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$493.18 / $714.78 / $866.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$225.76 / $352.36 / $847.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.26 / $727.56 / $1,343.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.92 / $192.71 / $327.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$375.28 / $517.38 / $1,005.93
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$195.64 / $310.66 / $667.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.26 / $688.07 / $1,086.26
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.74 / $192.79 / $306.33
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$373.52 / $489.29 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$950.80 / $950.80 / $950.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.22 / $940.68 / $5,978.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.80 / $214.33 / $733.09
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.60 / $687.85 / $5,438.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.26 / $819.87 / $1,413.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.35 / $198.51 / $333.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.91 / $621.87 / $987.79