go back

New York rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.16 / $119.79 / $228.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.62 / $413.68 / $701.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.49 / $119.47 / $180.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.14 / $286.10 / $515.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $182.33 / $182.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.09 / $62.09 / $62.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.36 / $341.97 / $1,141.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.11 / $94.27 / $204.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.49 / $247.70 / $768.12
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.41 / $309.66 / $433.07
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
$242.93 / $658.94 / $1,631.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.23 / $119.44 / $268.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.11 / $492.41 / $1,202.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.44 / $394.95 / $837.93
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.20 / $110.81 / $193.69
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.64 / $259.64 / $472.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.26 / $446.65 / $586.91
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.82 / $100.77 / $177.65
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.06 / $312.45 / $409.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.26 / $374.26 / $866.84
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.32 / $107.32 / $107.32
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.16 / $97.16 / $97.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.02 / $678.88 / $1,412.83
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.81 / $133.66 / $264.06
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.12 / $516.00 / $1,007.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.02 / $338.09 / $886.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.43 / $91.74 / $242.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.35 / $261.14 / $720.89
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.11 / $99.11 / $310.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.13 / $433.30 / $775.33
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.82 / $128.13 / $233.11
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.13 / $305.16 / $542.22