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Virginia rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $155.65 / $327.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $425.00 / $603.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $126.00 / $157.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.98 / $299.00 / $409.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $334.05 / $552.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.44 / $96.86 / $149.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.77 / $235.01 / $391.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.95 / $456.98 / $1,924.00
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.47 / $100.92 / $128.16
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.88 / $360.19 / $469.01
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
$239.95 / $569.75 / $963.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.93 / $113.47 / $202.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.29 / $419.82 / $755.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $321.52 / $394.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.56 / $94.58 / $114.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.38 / $229.65 / $281.44
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.34 / $159.00 / $283.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $400.00 / $877.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.77 / $443.93 / $896.62
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.56 / $126.80 / $190.30
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.63 / $334.68 / $585.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.26 / $440.21 / $848.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.56 / $107.13 / $181.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.35 / $333.89 / $705.89