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Michigan rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.23 / $99.23 / $104.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.85 / $475.00 / $822.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.44 / $125.04 / $353.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.53 / $335.00 / $453.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $153.13 / $228.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $75.58 / $154.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.55 / $638.66 / $1,012.39
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.67 / $121.97 / $121.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.00 / $384.00 / $384.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $273.64 / $403.26
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
$349.26 / $583.34 / $942.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $94.77 / $191.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.27 / $447.53 / $785.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.39 / $99.23 / $104.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.96 / $401.98 / $637.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.39 / $99.24 / $268.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.79 / $330.74 / $499.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $230.23 / $378.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.39 / $450.23 / $707.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.11 / $85.20 / $134.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.51 / $350.98 / $567.78