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Wyoming 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $426.58 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $218.78 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $371.54 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $407.38 / $776.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$741.31 / $1,148.15 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $213.80 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $676.08 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $190.55 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $707.95 / $1,819.70