go back

Arizona 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
$90.85 / $138.60 / $592.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $475.00 / $1,190.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.73 / $140.00 / $334.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$475.00 / $475.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$107.51 / $187.50 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.16 / $335.00 / $502.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.74 / $180.28 / $219.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.61 / $54.31 / $118.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.65 / $134.86 / $134.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.94 / $234.22 / $292.77
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.83 / $63.80 / $79.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.11 / $170.42 / $213.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.21 / $417.57 / $709.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.07 / $77.34 / $138.72
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $301.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.56 / $305.91 / $569.77
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$603.28 / $603.28 / $603.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $437.32 / $2,791.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $67.05 / $525.38
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$847.86 / $847.86 / $847.86
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $349.22 / $2,451.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $334.45 / $519.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $59.05 / $122.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $232.05 / $433.14