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Illinois rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.78 / $116.12 / $175.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.81 / $375.00 / $820.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.90 / $126.00 / $409.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.72 / $236.18 / $433.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $150.30 / $194.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.19 / $56.48 / $94.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.76 / $96.76 / $96.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $226.07 / $397.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.49 / $99.49 / $99.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.67 / $323.16 / $795.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.60 / $98.90 / $154.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.15 / $207.23 / $596.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.68 / $345.40 / $2,143.90
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.78 / $120.47 / $476.79
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.30 / $220.08 / $1,704.24
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.06 / $234.12 / $252.71
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.94 / $87.01 / $91.85
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.05 / $149.18 / $160.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $96.08 / $264.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $373.16 / $656.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.34 / $94.59 / $152.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.78 / $240.46 / $520.75