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Maryland 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
$120.23 / $125.89 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $478.63 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $208.93 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $436.52 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $512.86 / $870.96
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $141.25 / $162.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $436.52 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $120.23 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $489.78 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $112.20 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $346.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $109.65 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $457.09 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $117.49 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $346.74 / $478.63