go back

Washington rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.18 / $124.31 / $228.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.26 / $475.00 / $669.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.18 / $140.00 / $256.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.53 / $335.00 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.72 / $362.57 / $406.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $117.07 / $187.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$656.72 / $656.72 / $656.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.27 / $471.22 / $3,174.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.56 / $168.42 / $609.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.72 / $325.56 / $2,772.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.71 / $423.71 / $846.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.13 / $128.22 / $224.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.88 / $294.89 / $631.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.05 / $159.18 / $698.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.45 / $501.82 / $1,158.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.37 / $153.69 / $194.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.91 / $344.05 / $964.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.16 / $177.58 / $385.40
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.40 / $137.85 / $142.04
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.66 / $233.66 / $233.66
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.67 / $138.12 / $169.11
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.89 / $283.41 / $686.17
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.68 / $94.68 / $95.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.20 / $462.20 / $578.45
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.26 / $163.26 / $194.96
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.95 / $298.42 / $380.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.27 / $406.20 / $586.77
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.56 / $143.94 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.72 / $262.27 / $391.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.43 / $299.39 / $626.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.73 / $84.54 / $213.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.70 / $252.63 / $478.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.74 / $219.74 / $219.74
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.17 / $73.17 / $73.17
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.56 / $146.56 / $146.56