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Wisconsin rates for HCPCS 72141

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material

Facilitymedian $191 · 10th–90th $148$6460%20%10th90th$191Professionalmedian $245 · 10th–90th $71$9120%5%10th90th$245$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $190.55 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $501.19 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $151.36 / $588.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$141.25 / $141.25 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $275.42 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $389.05 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $109.65 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $251.19 / $794.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $239.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $602.56 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $173.78 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $436.52 / $512.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $426.58 / $575.44
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $154.88 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $269.15 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $616.60 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $194.98 / $630.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $416.87 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $588.84 / $1,000.00
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $165.96 / $281.84
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $467.74 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,659.59 / $3,019.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $363.08 / $562.34
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $1,412.54 / $2,570.40
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $446.68 / $912.01
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,445.44 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $954.99 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $354.81 / $537.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $436.52 / $1,071.52