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South Carolina 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
$85.11 / $85.11 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $436.52 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $120.23 / $323.59
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$134.90 / $173.78 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $223.87 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $66.07 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $125.89 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $416.87 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $131.83 / $199.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $281.84 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $457.09 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $97.72 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $302.00 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $794.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $87.10 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $257.04 / $645.65