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Kentucky 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
$62.60 / $66.18 / $122.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.47 / $366.47 / $1,141.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.60 / $114.69 / $306.00
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
$96.24 / $104.71 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.87 / $268.52 / $570.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.32 / $198.03 / $230.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.62 / $53.67 / $77.51
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.45 / $121.45 / $142.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.89 / $289.52 / $474.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.12 / $74.09 / $104.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$332.83 / $434.30 / $711.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.30 / $187.85 / $400.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $139.66 / $253.50
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
$242.52 / $494.41 / $954.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.77 / $96.21 / $155.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.14 / $415.72 / $831.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $304.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.98 / $403.80 / $541.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.93 / $72.58 / $99.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.79 / $228.38 / $468.04