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North Carolina 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
$85.01 / $93.43 / $142.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $425.00 / $751.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.02 / $118.49 / $210.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.75 / $282.87 / $489.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.84 / $558.84 / $558.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$159.00 / $178.88 / $178.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.05 / $242.05 / $242.05
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.50 / $226.84 / $272.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$435.72 / $755.52 / $1,033.11
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
$365.21 / $706.26 / $1,420.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.05 / $145.38 / $250.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.47 / $536.92 / $1,163.35
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.65 / $159.00 / $263.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $293.00 / $550.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.65 / $138.65 / $159.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$727.72 / $727.72 / $727.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.10 / $281.41 / $467.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.45 / $573.52 / $924.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.07 / $123.52 / $245.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.98 / $445.99 / $677.66
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$620.48 / $778.96 / $778.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,587.02 / $3,587.02 / $3,587.02
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$642.27 / $642.27 / $686.78
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,086.80 / $3,086.80 / $3,086.80