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Arizona rates for HCPCS 72147

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $302.00 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $457.09 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $141.25 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $630.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $93.33 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $95.50 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $446.68 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $104.71 / $186.21
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.60 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $501.19 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $91.20 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $660.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $81.28 / $147.91