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Washington 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
$79.43 / $104.71 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $478.63 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $128.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$123.03 / $512.86 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $229.09 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $371.54 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $117.49 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $407.38 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $281.84 / $645.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.10 / $138.04 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $131.83 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $323.59 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $138.04 / $141.25
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $128.82 / $158.49
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $281.84 / $660.69
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $95.50 / $95.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $575.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $151.36 / $204.17
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $288.40 / $380.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.68 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $562.34
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $147.91 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $676.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $81.28 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $223.87 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $380.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $79.43 / $131.83
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $147.91 / $245.47