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North Dakota 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
$68.18 / $68.18 / $109.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.50 / $332.04 / $697.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.86 / $140.00 / $386.26
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$98.62 / $115.47 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.66 / $335.00 / $1,331.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.24 / $515.88 / $527.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.59 / $154.97 / $161.99
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$524.98 / $957.66 / $1,053.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.42 / $347.29 / $364.21
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
$297.68 / $484.81 / $811.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $117.06 / $164.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.24 / $332.57 / $690.15
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$603.28 / $603.28 / $603.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.32 / $476.94 / $2,791.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.29 / $136.63 / $525.38
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.14 / $340.30 / $2,451.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.39 / $426.59 / $741.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.29 / $129.81 / $170.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.36 / $319.50 / $529.35