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Texas 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
$83.22 / $132.00 / $154.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.56 / $475.00 / $921.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.22 / $135.81 / $328.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.34 / $335.00 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.96 / $268.22 / $523.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $106.71 / $189.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $253.42 / $405.90
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.08 / $475.64 / $634.17
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.04 / $101.60 / $184.48
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
$284.99 / $541.79 / $1,285.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $115.92 / $212.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.89 / $410.30 / $1,041.68
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $935.44 / $950.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,978.92 / $6,158.29 / $6,158.29
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$733.09 / $733.09 / $824.33
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,438.76 / $5,601.93 / $5,601.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.50 / $547.05 / $877.50
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.26 / $162.79 / $394.64
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.76 / $384.27 / $931.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.03 / $281.27 / $605.86
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.17 / $116.17 / $116.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.05 / $608.80 / $1,114.50
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.13 / $109.83 / $206.30
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.09 / $392.95 / $1,040.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.82 / $520.51 / $1,041.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.18 / $109.28 / $185.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.87 / $395.99 / $776.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.97 / $317.08 / $450.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.20 / $97.01 / $133.81
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.76 / $232.34 / $1,400.00