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Washington rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.74 / $189.15 / $308.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.49 / $475.00 / $877.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.42 / $129.05 / $269.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.06 / $335.00 / $608.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.59 / $136.59 / $164.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$795.36 / $795.36 / $795.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.45 / $681.57 / $3,482.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.42 / $211.10 / $700.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.58 / $503.81 / $2,996.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.95 / $611.91 / $1,067.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.39 / $154.49 / $268.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.15 / $434.65 / $819.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.89 / $192.68 / $1,102.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.54 / $713.25 / $1,415.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.63 / $184.87 / $234.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.31 / $534.22 / $1,196.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $268.38 / $603.77
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.60 / $167.17 / $171.20
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.82 / $163.19 / $192.41
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.33 / $444.21 / $871.00
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.16 / $114.16 / $115.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.85 / $669.29 / $843.34
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.47 / $197.79 / $236.20
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$312.91 / $470.87 / $601.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.02 / $588.20 / $850.72
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.42 / $174.38 / $234.52
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.58 / $413.82 / $616.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $544.33 / $907.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.92 / $102.74 / $250.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.49 / $400.42 / $639.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $318.95 / $318.95
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.86 / $88.86 / $88.86
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.11 / $230.11 / $230.11