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Pennsylvania rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.77 / $105.21 / $241.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.27 / $425.00 / $1,222.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.15 / $140.00 / $341.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.85 / $299.00 / $441.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.88 / $144.16 / $167.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.20 / $99.24 / $121.67
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.14 / $123.14 / $123.14
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $288.06 / $3,149.14
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.38 / $94.52 / $634.29
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.02 / $312.97 / $930.46
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.09 / $114.14 / $186.32
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.92 / $205.17 / $788.64
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
$166.77 / $385.93 / $785.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.47 / $89.32 / $143.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.54 / $297.50 / $666.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.01 / $299.41 / $1,300.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $92.18 / $145.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.52 / $176.16 / $250.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.18 / $242.20 / $387.41
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.02 / $89.52 / $130.94
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.81 / $221.10 / $221.77
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.68 / $265.27 / $1,099.50
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.73 / $87.04 / $169.59
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.90 / $102.80 / $249.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.27 / $425.00 / $1,254.92
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.15 / $126.00 / $322.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.37 / $281.41 / $663.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.88 / $191.04 / $539.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.55 / $80.26 / $80.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $377.98 / $775.25
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.43 / $89.32 / $143.76
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.12 / $269.27 / $652.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.68 / $69.68 / $87.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $191.07 / $559.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.89 / $69.72 / $87.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.78 / $121.39 / $472.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.05 / $291.19 / $604.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.30 / $83.21 / $140.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.75 / $175.86 / $507.95