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Wyoming 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
$98.05 / $98.05 / $99.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.34 / $475.00 / $557.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.65 / $140.00 / $167.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.84 / $335.00 / $389.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.00 / $1,485.00 / $2,743.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$260.00 / $427.00 / $788.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$644.00 / $1,058.00 / $1,955.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.96 / $745.40 / $1,413.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.08 / $158.78 / $281.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$393.17 / $628.32 / $1,103.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.87 / $764.79 / $2,247.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.98 / $192.04 / $331.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$445.19 / $553.74 / $1,916.18