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North Dakota rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.65 / $74.66 / $119.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.42 / $335.75 / $598.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.77 / $140.00 / $289.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.21 / $216.03 / $441.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.02 / $471.44 / $494.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.41 / $169.59 / $177.26
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.60 / $301.85 / $316.55
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
$277.97 / $453.78 / $914.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.29 / $130.05 / $181.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.54 / $290.30 / $771.44
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$656.72 / $656.72 / $656.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.51 / $452.54 / $3,174.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.15 / $141.78 / $609.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.82 / $303.30 / $2,772.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $407.29 / $708.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.15 / $137.19 / $186.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.38 / $288.13 / $479.81