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Tennessee rates for HCPCS 72141

Mri Spinal Canal Cervical W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.13 / $154.36 / $362.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $425.00 / $658.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $112.56 / $195.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$122.46 / $158.55 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.27 / $226.62 / $369.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.63 / $189.26 / $370.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.80 / $75.12 / $161.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.84 / $168.73 / $220.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.08 / $384.05 / $679.57
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.73 / $112.31 / $176.44
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.65 / $264.17 / $545.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.90 / $72.90 / $80.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $410.13 / $733.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.13 / $105.97 / $169.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.41 / $265.99 / $614.57
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$641.91 / $641.91 / $656.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.82 / $2,988.88 / $2,988.88
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$558.07 / $558.07 / $563.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,498.98 / $2,573.94 / $2,573.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.07 / $351.84 / $595.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.91 / $87.23 / $152.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.81 / $227.66 / $444.64