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Massachusetts 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
$63.63 / $89.80 / $187.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.62 / $425.00 / $1,908.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.59 / $140.00 / $401.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$475.00 / $1,103.59 / $1,103.59
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.71 / $165.89 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.42 / $335.00 / $774.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.91 / $466.08 / $586.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.16 / $482.32 / $2,873.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.78 / $97.90 / $525.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.73 / $357.26 / $2,524.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.99 / $122.78 / $162.28
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$822.57 / $841.05 / $841.05
BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$51.60 / $289.43 / $525.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$548.38 / $560.70 / $560.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.16 / $472.68 / $1,038.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.78 / $96.83 / $198.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.73 / $341.10 / $797.39
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.04 / $215.05 / $388.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.54 / $510.63 / $663.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.23 / $155.08 / $204.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.31 / $350.62 / $458.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $140.33 / $513.40
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.08 / $586.88 / $586.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.42 / $517.05 / $2,873.43
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.86 / $103.38 / $525.38
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.87 / $412.19 / $2,524.69
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.58 / $326.95 / $505.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.42 / $413.41 / $787.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.01 / $87.04 / $170.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.13 / $244.69 / $582.08