go back

North Carolina 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
$101.96 / $126.00 / $171.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.64 / $402.08 / $1,459.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.97 / $145.65 / $502.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.85 / $335.00 / $894.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.67 / $335.77 / $858.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.00 / $135.46 / $214.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.14 / $268.14 / $268.14
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.51 / $233.42 / $309.17
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$629.04 / $1,040.83 / $1,420.35
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
$455.63 / $1,010.20 / $1,880.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.23 / $167.14 / $292.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$326.69 / $825.16 / $1,648.82
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.10 / $176.00 / $314.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $491.00 / $627.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.10 / $155.10 / $176.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$904.73 / $904.73 / $904.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $342.89 / $569.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.84 / $741.07 / $1,283.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.26 / $137.56 / $289.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.70 / $536.05 / $1,104.48
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $935.44 / $935.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,158.29 / $6,158.29 / $6,158.29
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$733.09 / $733.09 / $824.33
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,601.93 / $5,601.93 / $5,601.93