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Delaware rates for HCPCS 73722

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.23 / $126.00 / $368.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.85 / $475.00 / $637.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $140.00 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.53 / $335.00 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.88 / $550.62 / $776.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.09 / $84.50 / $141.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.60 / $417.18 / $666.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.38 / $318.38 / $495.77
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.98 / $96.56 / $1,187.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.66 / $507.90 / $833.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.21 / $91.12 / $183.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.52 / $470.41 / $647.70