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Wisconsin 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
$147.91 / $190.55 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $478.63 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $125.89 / $478.63
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$141.25 / $512.86 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $257.04 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $380.19 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $107.15 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $251.19 / $776.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $245.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $588.84 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $158.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $407.38 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $575.44
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $154.88 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $269.15 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $645.65 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $199.53 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $426.58 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $467.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $489.78 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.18 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,659.59 / $3,019.95
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $363.08 / $562.34
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $1,412.54 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.00 / $446.68 / $912.01
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$812.83 / $1,380.38 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $446.68 / $933.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $125.89 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $309.03 / $794.33