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California rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $519.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.62 / $475.00 / $1,829.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.71 / $140.00 / $506.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.75 / $335.00 / $585.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.77 / $62.77 / $62.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.97 / $666.72 / $1,238.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.84 / $122.73 / $241.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.81 / $544.96 / $989.18
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.63 / $412.49 / $1,000.23
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.53 / $107.97 / $261.32
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.22 / $305.44 / $729.46
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
$260.45 / $551.90 / $1,108.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.50 / $105.70 / $238.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.30 / $421.25 / $883.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $361.49 / $488.01
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.37 / $94.38 / $127.41
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.28 / $267.11 / $360.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.50 / $375.34 / $688.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.94 / $122.69 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.75 / $313.31 / $582.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$778.96 / $778.96 / $795.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.54 / $3,587.02 / $3,587.02
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$642.27 / $642.27 / $686.78
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,996.90 / $3,086.80 / $3,086.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $203.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.16 / $97.16 / $97.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.41 / $603.37 / $938.82
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.24 / $102.58 / $237.94
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.41 / $435.29 / $825.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.46 / $1,052.46 / $1,052.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$291.41 / $291.41 / $291.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$761.05 / $761.05 / $761.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $401.96 / $1,665.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $433.63 / $969.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.12 / $97.74 / $216.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.49 / $335.63 / $733.66