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Delaware rates for HCPCS 73721

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $125.89 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $398.11 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $128.82 / $363.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$100.00 / $102.33 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $281.84 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $389.05 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $74.13 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $295.12 / $575.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $245.47
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $81.28 / $676.08
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $398.11 / $741.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $275.42 / $660.69