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Nebraska rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.66 / $437.98 / $738.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.01 / $293.24 / $1,829.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.65 / $105.48 / $240.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.36 / $187.36 / $1,322.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.51 / $87.51 / $87.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.69 / $523.44 / $556.85
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.31 / $159.59 / $169.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$340.41 / $363.86 / $387.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$471.00 / $471.00 / $471.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.83 / $622.75 / $948.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.74 / $186.58 / $241.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.09 / $435.29 / $695.24
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
$441.98 / $668.65 / $3,482.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.01 / $173.10 / $642.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.30 / $518.83 / $2,996.90
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$293.86 / $302.42 / $471.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.35 / $666.13 / $1,081.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.35 / $258.14 / $459.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.98 / $593.16 / $747.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.54 / $169.88 / $217.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.69 / $421.72 / $558.55