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New York 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
$72.00 / $111.15 / $150.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $415.70 / $916.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.52 / $126.00 / $219.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$262.06 / $475.00 / $509.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$111.29 / $187.50 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.97 / $282.87 / $508.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $160.47 / $195.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.87 / $54.35 / $94.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.81 / $269.04 / $884.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.25 / $74.81 / $153.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$308.72 / $391.45 / $1,156.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.56 / $184.57 / $566.59
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.62 / $220.86 / $314.48
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
$176.35 / $514.95 / $1,441.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.61 / $90.67 / $200.64
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $343.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.17 / $372.26 / $859.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.80 / $320.14 / $699.64
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.44 / $82.85 / $144.81
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.62 / $190.20 / $346.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.61 / $330.02 / $505.00
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.50 / $76.43 / $134.74
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.16 / $246.14 / $303.00
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.93 / $222.65 / $383.78
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.44 / $75.44 / $75.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.64 / $285.05 / $505.32
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.91 / $87.11 / $136.10
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$544.67 / $544.67 / $981.72
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$136.16 / $136.16 / $136.16
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.72 / $193.72 / $193.72
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.67 / $520.00 / $1,110.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.72 / $96.18 / $209.00
MVP Health Care
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $343.71
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.63 / $370.00 / $785.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $272.14 / $742.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $69.52 / $157.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.99 / $187.60 / $545.40
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.17 / $75.17 / $216.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.03 / $315.89 / $568.38
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.50 / $97.99 / $176.34
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.80 / $240.41 / $392.04