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Missouri 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
$122.54 / $148.69 / $231.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.05 / $552.66 / $2,623.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.10 / $156.10 / $550.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $433.49 / $1,088.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.05 / $268.57 / $575.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.59 / $106.70 / $152.85
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.62 / $239.62 / $239.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.35 / $544.62 / $1,268.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.04 / $131.66 / $223.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.31 / $409.47 / $1,044.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.52 / $116.52 / $116.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.18 / $651.00 / $1,409.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.85 / $145.19 / $250.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.03 / $496.24 / $1,141.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $953.92 / $953.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.57 / $838.44 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.13 / $149.88 / $883.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$337.48 / $662.40 / $5,438.76
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.93 / $661.93 / $661.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.70 / $641.67 / $1,397.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.99 / $128.58 / $241.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.12 / $488.08 / $1,074.56