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Minnesota rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.74 / $86.74 / $86.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.24 / $425.00 / $666.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.49 / $112.50 / $184.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.68 / $321.14 / $466.37
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.12 / $71.12 / $71.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.99 / $822.14 / $997.14
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $243.74 / $295.62
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.08 / $578.39 / $701.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$189.03 / $295.02 / $709.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.84 / $567.37 / $1,100.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.12 / $160.49 / $279.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.47 / $400.18 / $820.27
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.81 / $260.12 / $558.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.84 / $536.04 / $1,024.99
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.37 / $157.16 / $255.10
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.47 / $378.09 / $804.74
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
$352.53 / $636.86 / $3,482.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.67 / $165.78 / $642.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.84 / $457.62 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.48 / $588.24 / $1,066.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.67 / $159.05 / $279.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.81 / $434.27 / $825.93