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Mississippi 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
$101.92 / $110.50 / $164.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $475.00 / $550.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.56 / $140.00 / $164.18
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$166.02 / $212.27 / $248.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.16 / $333.04 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.09 / $176.81 / $406.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.15 / $58.94 / $115.07
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$609.99 / $609.99 / $609.99
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.96 / $98.96 / $98.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.83 / $501.83 / $501.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.03 / $378.94 / $842.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.74 / $104.68 / $133.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.29 / $267.29 / $710.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $159.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $287.89 / $869.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.29 / $76.98 / $135.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.40 / $206.50 / $765.98