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Texas 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
$52.48 / $83.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $354.81 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $112.20 / $363.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$186.21 / $478.63 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.62 / $223.87 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $245.47 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $63.10 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$512.86 / $512.86 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $123.03 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $162.18 / $218.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $691.83
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $114.82 / $114.82
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
$186.21 / $371.54 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $81.28 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $263.03 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$588.84 / $588.84 / $588.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $77.62 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $371.54 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $112.20 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$186.21 / $478.63 / $1,096.48
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.62 / $31.62 / $1,023.29
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $251.19 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $190.55 / $575.44
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $72.44 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $371.54 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $79.43 / $134.90
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $588.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $69.18 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $208.93 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $64.57 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $134.90 / $169.82