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Alaska rates for HCPCS 73723

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$319.19 / $656.93 / $782.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $2,130.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $154.00 / $625.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $1,504.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.82 / $1,125.00 / $1,466.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.51 / $337.50 / $357.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.31 / $787.50 / $1,117.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.88 / $1,132.44 / $2,466.59
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$246.65 / $301.25 / $740.47
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$647.02 / $836.49 / $1,726.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.75 / $1,692.15 / $2,838.45
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$381.25 / $427.00 / $686.25
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,077.50 / $1,288.30 / $2,159.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.10 / $1,487.50 / $2,792.10
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$329.19 / $456.00 / $679.44
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$973.58 / $1,449.00 / $2,159.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.50 / $1,620.75 / $2,296.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.04 / $451.56 / $640.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$778.88 / $1,168.32 / $1,655.12