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Vermont rates for HCPCS 72141

Mri Spinal Canal Cervical W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.50 / $127.50 / $154.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$187.50 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.50 / $297.50 / $368.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.81 / $467.81 / $467.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.91 / $843.11 / $1,099.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.65 / $100.65 / $295.58
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.26 / $189.26 / $216.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.66 / $491.41 / $843.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.44 / $104.17 / $295.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.49 / $205.70 / $617.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.66 / $491.41 / $843.11
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.44 / $104.17 / $295.58
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.49 / $205.70 / $594.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.51 / $460.46 / $896.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.12 / $105.14 / $281.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.36 / $299.02 / $649.74