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Georgia 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
$85.00 / $86.11 / $285.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $415.70 / $921.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.04 / $119.47 / $315.94
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$621.08 / $954.32 / $1,941.27
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$111.29 / $212.50 / $485.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.87 / $340.00 / $783.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.22 / $184.77 / $306.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.59 / $84.34 / $115.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.31 / $238.16 / $238.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.22 / $377.95 / $730.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.95 / $84.05 / $173.31
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.80 / $556.64 / $1,099.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.93 / $236.75 / $601.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $151.81 / $277.74
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
$224.83 / $523.54 / $996.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.68 / $105.58 / $189.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.90 / $405.22 / $833.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.15 / $400.28 / $1,419.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.18 / $108.69 / $238.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$183.28 / $183.28 / $257.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.97 / $276.30 / $1,307.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.53 / $208.61 / $370.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.38 / $406.12 / $818.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.23 / $86.08 / $151.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.36 / $260.45 / $596.17