go back

Virginia rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $155.65 / $242.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.69 / $475.00 / $684.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.88 / $126.00 / $155.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.49 / $336.27 / $478.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.48 / $380.42 / $628.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.80 / $85.77 / $135.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.42 / $290.82 / $480.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.83 / $548.05 / $1,857.85
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.29 / $88.78 / $110.97
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$440.40 / $459.28 / $583.29
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
$297.14 / $590.51 / $962.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.34 / $101.59 / $184.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.65 / $482.71 / $765.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.27 / $366.32 / $448.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.98 / $85.23 / $103.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.27 / $283.52 / $347.46
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.86 / $134.00 / $240.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $468.00 / $827.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.63 / $542.40 / $871.58
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.81 / $110.13 / $174.38
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.63 / $488.55 / $659.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.13 / $479.58 / $833.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.26 / $94.04 / $151.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.56 / $390.99 / $698.68