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Rhode Island rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$544.53 / $544.53 / $544.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.05 / $572.54 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.52 / $129.13 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.52 / $420.00 / $453.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $497.06 / $945.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.19 / $121.70 / $169.14
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.75 / $375.36 / $397.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.80 / $713.15 / $799.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.69 / $171.35 / $182.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.67 / $541.79 / $606.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.65 / $509.00 / $751.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.64 / $113.64 / $180.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.71 / $380.95 / $623.96