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Pennsylvania rates for HCPCS 73725

Magnetic resonance angiography, lower extremity, with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.47 / $127.36 / $398.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.85 / $425.00 / $1,390.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.12 / $119.21 / $145.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.94 / $299.00 / $484.30
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.60 / $140.60 / $140.60
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$379.81 / $379.81 / $379.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.34 / $549.80 / $871.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.28 / $138.16 / $211.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$660.68 / $1,099.61 / $1,743.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.05 / $411.66 / $710.76
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
$303.49 / $564.86 / $949.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.34 / $105.16 / $173.86
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$507.23 / $580.67 / $580.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.18 / $447.62 / $771.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.29 / $532.29 / $1,378.57
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.36 / $111.85 / $176.59
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$293.29 / $365.14 / $520.05
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.69 / $103.99 / $134.63
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.47 / $138.60 / $403.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.44 / $442.53 / $1,390.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.57 / $126.00 / $307.44
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.87 / $319.35 / $729.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.34 / $346.77 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.71 / $97.37 / $97.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.64 / $557.32 / $920.21
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.06 / $104.52 / $173.86
Priority Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$507.23 / $580.67 / $616.05
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.25 / $413.82 / $765.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.35 / $84.35 / $91.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.34 / $335.66 / $504.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.14 / $84.44 / $91.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.90 / $251.32 / $412.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.77 / $460.76 / $751.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.34 / $100.66 / $170.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.15 / $360.74 / $662.19