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Michigan rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.65 / $90.65 / $95.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.36 / $340.67 / $630.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.29 / $140.00 / $416.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.04 / $199.66 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.01 / $160.01 / $188.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.09 / $66.44 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.68 / $289.33 / $390.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.31 / $111.31 / $111.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $142.61 / $241.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.15 / $412.51 / $782.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.86 / $91.06 / $174.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.74 / $262.57 / $559.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.87 / $90.65 / $95.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.90 / $340.67 / $603.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.87 / $93.50 / $389.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.34 / $214.14 / $385.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $128.53 / $192.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.33 / $267.69 / $573.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.31 / $82.73 / $122.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.70 / $175.71 / $496.04