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Virginia rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $155.65 / $295.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.85 / $461.61 / $658.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $126.00 / $155.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.94 / $335.00 / $490.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.39 / $407.15 / $673.14
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.84 / $96.69 / $148.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$477.58 / $610.72 / $1,009.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.94 / $308.11 / $509.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.48 / $573.66 / $1,634.70
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.81 / $96.51 / $120.64
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.44 / $477.16 / $605.99
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
$316.41 / $586.48 / $985.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.80 / $112.45 / $209.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.31 / $476.97 / $773.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.08 / $394.89 / $483.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.42 / $94.41 / $113.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.65 / $303.18 / $371.55
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.29 / $150.00 / $270.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.67 / $493.00 / $868.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.10 / $518.64 / $904.58
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.00 / $120.66 / $191.06
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.75 / $437.87 / $675.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.45 / $518.41 / $843.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.90 / $107.33 / $181.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.25 / $389.15 / $688.90