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Texas rates for HCPCS 72141

Mri Spinal Canal Cervical W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.73 / $90.71 / $195.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.06 / $322.88 / $700.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.87 / $109.71 / $237.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$92.53 / $137.50 / $285.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.85 / $195.02 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $158.31 / $319.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.20 / $73.14 / $129.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.38 / $90.72 / $113.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $156.99 / $245.27
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.89 / $251.85 / $424.67
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.81 / $69.75 / $102.46
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
$161.40 / $357.59 / $718.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.46 / $89.00 / $154.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.53 / $232.48 / $564.34
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$510.16 / $641.91 / $656.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.75 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.04 / $301.89 / $780.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.88 / $111.54 / $270.39
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.01 / $198.02 / $480.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $145.61 / $315.37
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.87 / $375.00 / $698.47
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.86 / $89.00 / $153.76
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.53 / $240.71 / $562.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.43 / $286.66 / $577.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.92 / $76.15 / $144.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.70 / $178.94 / $391.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.12 / $179.89 / $254.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.69 / $66.48 / $91.76
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.42 / $119.70 / $1,400.00