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Nebraska 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
$74.19 / $248.62 / $673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.76 / $475.00 / $2,129.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.19 / $172.94 / $404.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.84 / $253.09 / $1,667.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.39 / $102.08 / $138.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.03 / $595.41 / $635.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.53 / $144.88 / $153.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$421.50 / $450.54 / $481.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$427.56 / $427.56 / $427.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.91 / $713.53 / $1,046.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.95 / $170.54 / $219.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.95 / $542.99 / $816.27
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
$511.56 / $683.70 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.19 / $157.28 / $597.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$392.49 / $554.61 / $2,941.88
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$252.39 / $259.74 / $427.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.27 / $773.29 / $1,046.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $294.55 / $519.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.56 / $657.19 / $885.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.19 / $154.79 / $198.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$392.49 / $510.24 / $654.15