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Illinois 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
$67.61 / $109.65 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $371.54 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $125.89 / $457.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.89 / $478.63 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.62 / $288.40 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $281.84 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $58.88 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $125.89 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $239.88 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $251.19 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $588.84 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $128.82 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $398.11 / $1,995.26
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $79.43 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $169.82 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $79.43 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $263.03 / $602.56