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North Dakota 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
$82.06 / $82.06 / $131.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.69 / $425.00 / $588.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.79 / $122.79 / $264.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.84 / $299.00 / $407.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.20 / $798.99 / $817.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.58 / $185.82 / $194.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$474.07 / $585.04 / $613.53
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
$460.25 / $650.98 / $1,014.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $141.11 / $197.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$357.79 / $519.24 / $858.32
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$720.40 / $720.40 / $720.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.38 / $742.00 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.58 / $155.41 / $597.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.83 / $575.96 / $2,941.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.04 / $691.87 / $1,209.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.17 / $148.49 / $204.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.35 / $532.59 / $854.67