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Tennessee rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.21 / $135.06 / $460.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.39 / $456.97 / $579.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.02 / $134.22 / $170.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.75 / $322.75 / $409.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.77 / $70.09 / $98.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.97 / $527.55 / $861.90
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.58 / $134.44 / $207.16
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.70 / $413.97 / $695.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.67 / $87.67 / $97.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.63 / $546.33 / $917.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.86 / $124.79 / $199.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.11 / $409.78 / $746.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$778.96 / $778.96 / $795.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.54 / $3,587.02 / $3,587.02
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$642.27 / $642.27 / $686.78
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,996.90 / $3,086.80 / $3,086.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.54 / $514.87 / $787.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.26 / $105.10 / $183.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.93 / $344.33 / $581.52