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Indiana 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
$85.11 / $128.82 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $128.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $79.43 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $125.89 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $95.50 / $169.82