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Delaware rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.69 / $111.16 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.62 / $425.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.49 / $126.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.14 / $299.00 / $335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.22 / $529.27 / $794.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.47 / $97.25 / $154.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.74 / $381.47 / $679.65
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.05 / $107.05 / $107.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.33 / $568.47 / $770.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.73 / $97.86 / $200.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.97 / $313.04 / $648.40