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Wyoming 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
$81.66 / $81.66 / $83.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.62 / $453.55 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.49 / $140.00 / $140.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.14 / $313.52 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $1,208.00 / $2,232.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.00 / $356.00 / $658.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$518.00 / $852.00 / $1,574.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.70 / $593.92 / $1,034.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.66 / $132.83 / $253.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.16 / $454.74 / $800.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.83 / $618.52 / $1,724.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.44 / $160.99 / $301.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.04 / $441.60 / $1,587.30