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North Dakota rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.36 / $90.36 / $145.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.86 / $390.42 / $557.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.77 / $90.36 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.09 / $300.07 / $422.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.45 / $855.11 / $875.06
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.01 / $206.10 / $215.42
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$775.82 / $1,585.80 / $1,744.46
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$506.95 / $625.61 / $656.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.37 / $97.37 / $97.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.71 / $657.21 / $1,004.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.54 / $157.96 / $217.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$382.50 / $504.72 / $763.09
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$795.52 / $795.52 / $795.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.58 / $780.84 / $3,018.44
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.52 / $172.16 / $850.86
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.47 / $600.12 / $2,546.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.83 / $728.41 / $1,219.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.39 / $165.73 / $225.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.62 / $565.30 / $942.17