go back

California rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $473.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.74 / $475.00 / $2,129.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.20 / $140.00 / $420.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $785.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.30 / $417.16 / $700.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.11 / $63.16 / $144.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.42 / $670.82 / $1,265.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.25 / $94.91 / $191.06
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.82 / $565.99 / $1,057.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.58 / $487.60 / $1,183.58
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.28 / $98.47 / $238.20
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.87 / $390.44 / $936.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.95 / $87.95 / $87.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.49 / $570.13 / $1,108.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.87 / $94.08 / $216.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.89 / $460.33 / $924.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.01 / $415.55 / $560.99
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.60 / $85.56 / $115.51
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.41 / $329.99 / $445.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.58 / $419.42 / $750.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $111.23 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.33 / $387.00 / $650.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$703.76 / $703.76 / $720.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,348.15 / $3,448.60 / $3,448.60
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$597.70 / $597.70 / $616.42
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,941.88 / $3,030.13 / $3,030.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $276.77
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.95 / $87.95 / $87.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.83 / $627.69 / $1,040.06
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.60 / $92.11 / $210.36
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.05 / $474.84 / $888.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.18 / $1,225.18 / $1,225.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$265.77 / $265.77 / $265.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$959.40 / $959.40 / $959.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.10 / $438.22 / $532.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $460.69 / $969.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.33 / $83.73 / $197.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.10 / $363.97 / $811.69