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Ohio rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.67 / $126.80 / $295.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.64 / $370.50 / $603.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.42 / $111.15 / $187.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.98 / $259.35 / $415.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.96 / $162.96 / $162.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.48 / $110.95 / $112.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.84 / $415.72 / $743.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.27 / $104.48 / $189.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.93 / $298.82 / $564.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $189.43 / $277.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.67 / $97.16 / $97.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.95 / $454.64 / $917.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.67 / $114.72 / $192.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.87 / $322.83 / $713.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.67 / $87.67 / $97.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.52 / $447.14 / $949.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.79 / $115.98 / $191.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.43 / $309.74 / $678.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $209.00 / $343.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.94 / $384.51 / $751.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.97 / $100.84 / $177.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.59 / $251.35 / $528.50