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Missouri rates for HCPCS 72142

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.23 / $124.20 / $193.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.40 / $459.83 / $1,789.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.48 / $139.07 / $391.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.93 / $321.14 / $823.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.93 / $65.91 / $134.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.25 / $379.46 / $1,028.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.61 / $115.19 / $199.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.63 / $267.80 / $829.72
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
$239.95 / $464.44 / $983.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.41 / $122.66 / $219.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.11 / $350.14 / $818.67
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$620.48 / $795.36 / $795.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.16 / $640.01 / $3,482.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.80 / $126.05 / $642.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.93 / $487.19 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.36 / $451.33 / $937.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.50 / $110.01 / $188.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.86 / $275.16 / $699.90