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Washington rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.72 / $153.26 / $280.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $494.18 / $1,153.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $246.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.87 / $348.17 / $758.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.42 / $592.96 / $900.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.44 / $119.63 / $139.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$720.40 / $720.40 / $720.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.36 / $780.61 / $3,348.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.72 / $190.11 / $632.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.82 / $631.24 / $2,941.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.04 / $690.26 / $1,142.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.75 / $140.06 / $242.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.27 / $540.54 / $889.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.12 / $174.34 / $2,217.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.92 / $816.61 / $1,342.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.42 / $170.59 / $211.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$341.00 / $657.39 / $1,121.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.21 / $300.95 / $745.03
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.40 / $151.19 / $156.11
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $409.50 / $409.50
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.26 / $132.69 / $175.56
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.48 / $508.56 / $690.85
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.20 / $104.20 / $104.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.25 / $762.20 / $936.57
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.57 / $179.30 / $217.06
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$388.69 / $584.25 / $743.85
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,387.45 / $1,387.45 / $2,298.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.54 / $669.86 / $993.65
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.72 / $157.78 / $213.37
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.82 / $513.25 / $759.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $456.03 / $1,004.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.17 / $91.03 / $228.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.10 / $433.18 / $789.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.43 / $364.43 / $364.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.17 / $284.17 / $284.17