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Washington, DC rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.59 / $369.29 / $716.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $734.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.00 / $118.59 / $198.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.72 / $452.55 / $1,818.08
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.22 / $100.24 / $105.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.83 / $718.16 / $1,294.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.15 / $123.44 / $349.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.19 / $662.66 / $662.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.49 / $185.24 / $185.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.48 / $453.40 / $1,020.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.17 / $98.22 / $285.36