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Illinois rates for HCPCS 72141

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $112.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $467.74 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $120.23 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$134.90 / $316.23 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $239.88 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $64.57 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $93.33 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $234.42 / $758.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $100.00 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $218.78 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $616.60 / $2,454.71
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $141.25 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $512.86 / $1,862.09
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $234.42 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $87.10 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $147.91 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $371.54 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $91.20 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $229.09 / $562.34