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Idaho 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
$112.28 / $293.14 / $293.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $494.18 / $1,005.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.72 / $140.00 / $246.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $348.53 / $758.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.77 / $310.45 / $723.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.76 / $72.38 / $146.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.02 / $238.08 / $588.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.61 / $1,736.61 / $2,336.30
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$628.50 / $628.50 / $629.79
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,106.82 / $1,106.82 / $1,707.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.03 / $583.85 / $767.59
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.22 / $140.72 / $164.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.81 / $443.12 / $517.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $138.59 / $494.20
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,387.45 / $1,387.45 / $1,387.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.62 / $663.08 / $767.59
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.75 / $156.18 / $188.64
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$430.87 / $506.90 / $578.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $446.50 / $905.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.98 / $83.73 / $157.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.10 / $361.36 / $738.33