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Arizona rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.73 / $287.22 / $359.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $475.00 / $608.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $129.72 / $186.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.98 / $335.00 / $376.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.91 / $98.08 / $98.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.68 / $317.33 / $396.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.17 / $84.76 / $105.95
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.51 / $232.58 / $290.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.16 / $97.16 / $97.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.03 / $573.58 / $874.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.47 / $108.37 / $184.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.03 / $410.03 / $722.88
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$795.36 / $795.36 / $795.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $546.91 / $3,482.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.91 / $91.45 / $642.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.49 / $456.44 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $454.56 / $689.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.91 / $83.08 / $172.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.49 / $346.17 / $509.57