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Rhode Island 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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $489.78 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $173.78 / $478.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $338.84 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $758.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $109.65 / $190.55
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $269.15 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $588.84 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $165.96 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $416.87 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $102.33 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $323.59 / $524.81