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Louisiana 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
$83.18 / $109.65 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $407.38 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $109.65 / $309.03
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $251.19 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $58.88 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $93.33 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $416.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $97.72 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $190.55 / $269.15
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $67.61 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $263.03 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $77.62 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $158.49 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $616.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $75.86 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $158.49 / $398.11