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Rhode Island rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$542.57 / $542.57 / $542.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.66 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.56 / $140.00 / $529.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.10 / $338.66 / $420.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.13 / $406.04 / $984.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.20 / $121.71 / $181.07
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.03 / $284.33 / $323.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.02 / $585.00 / $854.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.15 / $171.39 / $181.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.43 / $424.80 / $636.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.48 / $496.32 / $723.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.93 / $113.23 / $180.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.98 / $326.37 / $603.99