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New York rates for HCPCS 73721

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $112.20 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $398.11 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $131.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $371.54 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$100.00 / $288.40 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $295.12 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $58.88 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$218.78 / $218.78 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $223.87 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $74.13 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.03 / $380.19 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $181.97 / $524.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $218.78 / $316.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $72.44 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $501.19 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $102.33 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $371.54 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $93.33 / $223.87
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $199.53 / $295.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $354.81 / $512.86
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $102.33 / $147.91
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $251.19 / $354.81
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $234.42
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $89.13 / $91.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $489.78
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $83.18 / $109.65
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$549.54 / $977.24 / $1,000.00
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$134.90 / $134.90 / $134.90
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $199.53 / $199.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $549.54 / $724.44
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $169.82 / $208.93
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $380.19 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $67.61 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $177.83 / $524.81
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $75.86 / $218.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $602.56
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $93.33 / $186.21
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $245.47 / $407.38