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Illinois rates for HCPCS 73723

Mri Any Jt Lower Extrem W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.07 / $175.79 / $254.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $475.00 / $946.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.07 / $143.00 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.75 / $348.97 / $567.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.40 / $280.70 / $369.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $123.01 / $139.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $428.48 / $863.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.28 / $132.28 / $132.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.88 / $608.21 / $1,355.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.62 / $141.57 / $208.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.77 / $453.53 / $1,113.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.87 / $682.29 / $3,509.55
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.47 / $176.26 / $900.48
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$324.81 / $509.50 / $2,750.46
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.46 / $469.56 / $506.84
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.47 / $127.30 / $134.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.18 / $346.10 / $372.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $141.00 / $530.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.44 / $703.53 / $1,217.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $137.34 / $236.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$344.71 / $548.88 / $961.64