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Alaska rates for HCPCS 72146

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$220.17 / $436.95 / $539.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $1,067.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.44 / $154.00 / $431.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $368.50 / $635.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.58 / $709.62 / $900.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.97 / $245.50 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.61 / $468.14 / $630.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.83 / $565.55 / $1,472.12
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.00 / $207.07 / $509.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.98 / $360.99 / $736.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.25 / $825.50 / $1,365.59
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$261.25 / $282.14 / $477.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.00 / $539.40 / $897.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.29 / $778.75 / $1,339.80
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$245.50 / $316.50 / $471.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$473.75 / $625.91 / $894.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.90 / $796.35 / $1,128.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.33 / $312.66 / $442.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$322.45 / $483.69 / $736.39