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Wisconsin 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
$147.91 / $190.55 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $457.09 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $125.89 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $245.47 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $389.05 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $107.15 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $251.19 / $776.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $245.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $588.84 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $158.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $407.38 / $562.34
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $154.88 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $275.42 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $616.60 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $177.83 / $602.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $436.52 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $489.78 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.18 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,819.70 / $3,235.94
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $363.08 / $602.56
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $1,548.82 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,318.26 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.00 / $436.52 / $549.54
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$645.65 / $954.99 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $446.68 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $125.89 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $309.03 / $812.83