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Oregon rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.92 / $191.95 / $424.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.22 / $494.18 / $921.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.90 / $129.72 / $506.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.32 / $335.00 / $550.70
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
$304.95 / $581.90 / $942.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.10 / $152.63 / $247.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.15 / $436.27 / $717.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.28 / $628.45 / $758.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.19 / $186.70 / $218.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$385.12 / $442.72 / $539.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.80 / $636.99 / $1,034.88
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.56 / $175.56 / $258.20
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.69 / $467.53 / $889.08
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.44 / $167.17 / $171.36
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.35 / $268.35 / $268.35
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.15 / $147.07 / $179.56
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.77 / $400.82 / $840.00
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.16 / $97.16 / $97.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.95 / $677.04 / $865.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.81 / $152.63 / $247.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.15 / $426.00 / $717.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,538.06 / $1,538.06 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.30 / $673.71 / $900.36
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.02 / $180.41 / $240.67
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.29 / $475.07 / $684.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $544.82 / $917.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.89 / $113.29 / $262.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.49 / $359.51 / $654.29