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Texas rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.45 / $90.71 / $106.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $323.47 / $642.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $111.15 / $254.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.60 / $203.95 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.14 / $160.04 / $320.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.06 / $73.11 / $129.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.96 / $90.96 / $113.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $153.24 / $242.86
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.20 / $270.30 / $425.39
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.81 / $68.31 / $69.75
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
$161.66 / $358.08 / $732.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.46 / $89.00 / $154.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.81 / $232.48 / $589.99
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$510.16 / $641.91 / $656.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.82 / $3,270.06 / $3,270.06
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$609.25 / $609.25 / $609.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,772.01 / $2,855.17 / $2,855.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.01 / $281.89 / $813.21
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.88 / $111.54 / $270.39
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.43 / $198.54 / $481.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $145.31 / $315.35
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $375.00 / $723.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.86 / $89.00 / $153.90
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.25 / $240.71 / $584.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.43 / $264.61 / $577.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.92 / $76.15 / $148.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.70 / $173.23 / $413.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.38 / $180.20 / $255.23
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.69 / $66.48 / $91.76
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.70 / $120.03 / $1,400.00