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South Carolina 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
$102.33 / $131.83 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $295.12 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $588.84 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $147.91 / $269.15
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $338.84 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $117.49 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $436.52 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $512.86 / $933.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $104.71 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $380.19 / $776.25