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Kansas 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
$81.43 / $133.88 / $159.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.44 / $337.39 / $504.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.44 / $136.76 / $192.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$144.01 / $168.70 / $252.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.26 / $296.24 / $475.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.55 / $153.77 / $341.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.50 / $47.56 / $71.34
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.19 / $162.59 / $162.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.03 / $458.03 / $458.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.29 / $369.60 / $807.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.10 / $84.41 / $173.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.05 / $254.11 / $634.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.08 / $603.28 / $603.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.09 / $503.56 / $2,791.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.99 / $96.01 / $525.38
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.09 / $442.57 / $2,451.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.42 / $395.11 / $594.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.99 / $76.30 / $131.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.13 / $229.79 / $490.03