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Indiana rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.09 / $86.09 / $132.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $320.22 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $100.12 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.70 / $62.70 / $62.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.48 / $457.52 / $709.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.87 / $124.90 / $177.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.11 / $212.64 / $337.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.46 / $96.46 / $96.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.04 / $613.05 / $1,143.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.04 / $115.29 / $199.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.38 / $434.54 / $817.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.79 / $96.99 / $172.44