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Wisconsin rates for HCPCS 72142

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)

Facilitymedian $224 · 10th–90th $178$7760%20%10th90th$224Professionalmedian $302 · 10th–90th $100$7760%5%10th90th$302$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $316.23 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $398.11 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $812.83 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $208.93 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $575.44 / $812.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $831.76
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $186.21 / $251.19
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $426.58 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $794.33 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $194.98 / $645.65
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $588.84 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $602.56
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $851.14 / $1,148.15
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $199.53 / $338.84
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $630.96 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $691.83 / $1,862.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,995.26 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $436.52 / $645.65
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $1,698.24 / $3,090.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,778.28 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $524.81 / $602.56
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,380.38 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $398.11 / $645.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $489.78 / $977.24