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Maryland rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $126.00 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $425.00 / $2,187.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.57 / $126.00 / $241.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $299.00 / $1,088.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.05 / $573.66 / $652.60
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.23 / $96.51 / $110.31
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.82 / $477.16 / $539.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.08 / $557.32 / $944.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.44 / $103.80 / $195.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.62 / $436.54 / $720.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.04 / $458.00 / $774.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.52 / $103.08 / $151.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.14 / $347.19 / $594.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.48 / $451.07 / $858.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.76 / $92.03 / $199.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.19 / $358.36 / $712.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.02 / $387.15 / $503.30
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.72 / $89.91 / $116.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.31 / $297.24 / $380.00