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Wyoming 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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $128.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $338.84 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $338.84 / $645.65
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$660.69 / $1,023.29 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $177.83 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.38 / $562.34 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.11 / $602.56 / $1,479.11