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Pennsylvania rates for HCPCS 72141

Mri Spinal Canal Cervical W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.77 / $105.21 / $241.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $471.00 / $1,254.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.95 / $140.00 / $257.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$97.84 / $200.00 / $287.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.54 / $282.87 / $441.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.23 / $149.19 / $192.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.20 / $75.52 / $115.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.72 / $183.35 / $183.35
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.20 / $288.06 / $2,937.52
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.38 / $94.52 / $1,014.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.52 / $333.76 / $852.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.36 / $114.14 / $186.32
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.61 / $214.93 / $710.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.77 / $381.27 / $774.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.47 / $89.32 / $143.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.24 / $297.16 / $632.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.61 / $298.88 / $1,240.34
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $92.18 / $145.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.13 / $175.70 / $250.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.26 / $224.43 / $394.43
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.02 / $87.48 / $127.86
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.57 / $42.91 / $121.31
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.54 / $219.84 / $222.37
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.53 / $288.06 / $2,937.52
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.73 / $87.04 / $500.00
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.22 / $103.26 / $249.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $425.00 / $1,320.50
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.83 / $127.30 / $279.72
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$98.80 / $200.00 / $397.38
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.37 / $233.00 / $663.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.88 / $191.56 / $540.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.55 / $80.26 / $80.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $376.40 / $755.29
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $89.32 / $143.76
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.12 / $269.27 / $632.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.68 / $69.68 / $83.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $191.07 / $496.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.89 / $69.72 / $83.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.78 / $121.39 / $413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.05 / $279.52 / $569.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.30 / $83.21 / $141.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.75 / $175.86 / $470.35