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Pennsylvania 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
$106.17 / $133.25 / $249.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.75 / $425.00 / $2,205.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.97 / $141.96 / $527.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.16 / $299.00 / $452.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.87 / $254.71 / $292.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.67 / $119.03 / $168.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.41 / $555.69 / $1,743.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.96 / $165.27 / $249.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.43 / $390.42 / $1,553.76
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
$328.04 / $723.19 / $1,347.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $124.18 / $201.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.73 / $571.84 / $1,159.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.64 / $530.66 / $2,209.62
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.17 / $134.46 / $211.93
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.85 / $341.03 / $485.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.78 / $428.27 / $831.02
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.83 / $122.35 / $189.51
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$432.44 / $432.44 / $432.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.50 / $145.74 / $374.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.83 / $437.75 / $1,477.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $153.44 / $439.23
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.84 / $321.45 / $729.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $351.63 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.48 / $116.17 / $116.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.04 / $667.08 / $1,343.50
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.65 / $123.01 / $206.50
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.73 / $542.03 / $1,134.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.90 / $100.90 / $114.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.16 / $339.25 / $953.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.33 / $100.93 / $114.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.23 / $238.35 / $839.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.65 / $515.14 / $1,017.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.69 / $114.82 / $203.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.96 / $372.98 / $978.05