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Wyoming 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
$63.10 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $208.93 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $138.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.62 / $31.62 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $302.00 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $251.19 / $478.63
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $562.34 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $134.90 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $123.03 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $346.74 / $1,258.93