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Wisconsin rates for HCPCS 73722

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)

Facilitymedian $234 · 10th–90th $162$7080%20%10th90th$234Professionalmedian $372 · 10th–90th $95$1,2300%5%10th90th$372$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $181.97 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $524.81 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $165.96 / $758.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $371.54 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $120.23 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $1,412.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $288.40 / $389.05
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $234.42 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $891.25 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $204.17 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $691.83 / $1,000.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $977.24
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $169.82 / $229.09
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $524.81 / $758.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $181.97 / $602.56
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $676.08 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $562.34
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $933.25 / $1,230.27
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $181.97 / $309.03
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $741.31 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $794.33 / $1,412.54
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $707.95 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,905.46 / $3,467.37
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $398.11 / $602.56
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $1,659.59 / $3,019.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $446.68 / $549.54
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,288.25 / $1,737.80 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,380.38 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $275.42 / $588.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $630.96 / $1,949.84