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Missouri 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
$85.11 / $125.89 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $426.58 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $120.23 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $223.87 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $141.25 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $72.44 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $95.50 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $93.33 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $165.96 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $323.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $75.86 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $102.33 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $223.87 / $660.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$512.86 / $660.69 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $512.86 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $107.15 / $602.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $354.81 / $2,754.23
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $338.84 / $338.84
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $128.82
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $676.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $87.10 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $181.97 / $524.81