go back

Texas 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
$57.54 / $91.20 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $398.11 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $112.20 / $275.42
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.04 / $512.86 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $204.17 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $66.07 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $100.00 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $151.36 / $213.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $691.83
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $102.33 / $102.33
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
$173.78 / $371.54 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $91.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $263.03 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$645.65 / $645.65 / $645.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $3,019.95 / $3,019.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$562.34 / $562.34 / $562.34
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $75.86 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $389.05 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$134.90 / $316.23 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $218.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $181.97 / $537.03
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $79.43 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $371.54 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $89.13 / $151.36
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $562.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $75.86 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $181.97 / $398.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $69.18 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $117.49 / $144.54