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Illinois rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.52 / $152.04 / $170.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.83 / $475.00 / $668.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.69 / $128.00 / $173.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $509.42
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$379.81 / $379.81 / $379.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.03 / $386.30 / $758.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.06 / $112.06 / $112.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.74 / $526.89 / $856.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.33 / $119.94 / $180.00
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$507.23 / $507.23 / $580.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.14 / $392.31 / $685.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.01 / $599.79 / $2,174.82
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.87 / $146.93 / $634.35
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.76 / $456.10 / $1,634.57
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.58 / $412.09 / $445.56
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.87 / $106.12 / $112.23
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.47 / $309.22 / $333.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $117.41 / $466.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.69 / $565.75 / $839.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.95 / $107.33 / $169.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.61 / $441.89 / $683.36