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Wyoming 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
$73.72 / $73.72 / $75.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.85 / $475.00 / $519.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.31 / $128.24 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.53 / $335.00 / $390.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,381.00 / $2,551.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$196.00 / $323.00 / $596.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$644.00 / $1,058.00 / $1,955.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.83 / $674.18 / $1,240.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.16 / $134.69 / $291.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$373.24 / $503.87 / $996.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.92 / $718.12 / $1,600.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.59 / $147.05 / $251.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.32 / $556.52 / $1,348.59