go back

Pennsylvania 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
$107.62 / $133.25 / $249.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $425.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $140.00 / $473.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $319.44 / $548.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.40 / $260.33 / $369.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.16 / $135.16 / $222.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.07 / $204.07 / $204.07
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.29 / $553.27 / $856.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.31 / $131.01 / $201.15
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.98 / $415.34 / $649.46
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
$354.73 / $723.45 / $1,362.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.66 / $124.66 / $201.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.47 / $553.96 / $1,143.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.53 / $605.29 / $2,147.00
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.17 / $134.46 / $211.93
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.83 / $408.31 / $581.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.37 / $491.01 / $893.48
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.28 / $120.36 / $168.19
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$510.78 / $519.62 / $1,002.94
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.50 / $145.74 / $374.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.75 / $475.00 / $1,320.50
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $145.15 / $369.18
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.00 / $348.93 / $729.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $389.88 / $718.48
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.73 / $116.52 / $116.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.57 / $706.62 / $1,279.16
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.65 / $123.97 / $201.30
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.52 / $553.96 / $1,116.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.90 / $100.90 / $113.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.06 / $388.26 / $1,036.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.33 / $100.93 / $113.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.13 / $287.36 / $922.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.00 / $564.77 / $1,055.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.75 / $118.54 / $201.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$294.01 / $424.68 / $823.42