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Missouri rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.95 / $125.96 / $177.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.64 / $475.00 / $2,073.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.70 / $140.00 / $461.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.26 / $359.58 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.72 / $467.97 / $467.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.02 / $80.09 / $128.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.70 / $418.74 / $949.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.58 / $94.49 / $168.30
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.13 / $335.53 / $822.89
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
$272.37 / $510.83 / $936.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.19 / $109.83 / $191.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.71 / $405.36 / $791.71
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$558.79 / $720.40 / $720.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.35 / $615.83 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.92 / $114.36 / $597.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.13 / $515.23 / $2,941.88
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.16 / $538.16 / $538.16
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.79 / $139.79 / $139.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.87 / $520.58 / $900.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.36 / $97.55 / $180.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.20 / $396.53 / $852.06