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Connecticut rates for HCPCS 72141

Mri Spinal Canal Cervical W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.95 / $246.65 / $318.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.26 / $600.00 / $1,787.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.43 / $166.95 / $412.16
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$156.63 / $300.00 / $456.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.00 / $433.05 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.09 / $732.72 / $1,074.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.27 / $170.13 / $207.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.83 / $579.34 / $872.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.47 / $623.79 / $887.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.64 / $102.51 / $195.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.05 / $512.05 / $755.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.07 / $610.34 / $1,047.78
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $81.86 / $145.44
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.13 / $175.70 / $445.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.30 / $159.59 / $571.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.57 / $396.92 / $751.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.98 / $108.76 / $238.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.78 / $258.80 / $501.17