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Alaska rates for HCPCS 73721

Mri Any Jt Lower Extrem W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$464.63 / $493.33 / $894.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.14 / $522.50 / $1,333.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.22 / $154.00 / $430.79
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$446.89 / $560.69 / $560.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $726.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.54 / $692.84 / $752.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.65 / $209.71 / $237.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.89 / $455.11 / $537.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.55 / $600.66 / $1,549.02
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.44 / $189.29 / $467.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.74 / $415.32 / $843.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.75 / $869.70 / $1,439.34
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.75 / $257.85 / $436.50
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$535.00 / $617.50 / $1,032.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.70 / $781.25 / $1,413.30
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.71 / $288.00 / $429.12
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$526.79 / $678.00 / $1,010.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $831.39 / $1,149.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.89 / $285.27 / $404.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$364.08 / $549.25 / $773.67