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New York 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
$81.28 / $112.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $478.63 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $120.23 / $309.03
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$173.78 / $512.86 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $257.04 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $66.07 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $81.28 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $158.49 / $489.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $194.98 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $79.43 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $489.78 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $112.20 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $331.13 / $1,445.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $100.00 / $213.80
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $173.78 / $257.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $331.13 / $501.19
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $112.20 / $162.18
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $239.88 / $316.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $676.08
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $91.20 / $147.91
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$128.82 / $131.83 / $131.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $524.81 / $724.44
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $186.21 / $208.93
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $371.54 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $660.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $74.13 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $154.88 / $478.63
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $81.28 / $257.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $331.13 / $602.56
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $102.33 / $204.17
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $213.80 / $363.08