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Wyoming 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
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $478.63 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $147.91 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $263.03 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $275.42 / $524.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $489.78 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $489.78 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $147.91 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $338.84 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $134.90 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $309.03 / $1,174.90