go back

Virginia 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
$118.59 / $173.39 / $289.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $509.44 / $844.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.97 / $140.00 / $194.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $365.10 / $593.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.71 / $467.67 / $763.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.72 / $115.21 / $178.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.89 / $348.98 / $576.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.45 / $684.80 / $3,315.22
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.98 / $115.83 / $144.79
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$553.48 / $563.71 / $864.22
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
$365.69 / $811.10 / $1,422.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $134.31 / $241.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.48 / $620.83 / $1,215.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.39 / $449.27 / $550.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.90 / $113.53 / $136.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.49 / $338.99 / $415.43
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.65 / $177.00 / $315.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $578.00 / $1,131.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.11 / $675.89 / $1,321.04
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.98 / $144.55 / $228.88
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.34 / $600.49 / $843.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.65 / $617.08 / $1,326.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.09 / $121.49 / $198.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.14 / $473.66 / $1,168.48