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Maryland rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $126.00 / $162.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.11 / $425.00 / $1,389.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $126.00 / $389.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.31 / $452.55 / $561.13
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.46 / $96.33 / $116.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $525.16 / $874.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.58 / $103.59 / $198.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.55 / $369.65 / $626.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.60 / $101.74 / $162.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.65 / $381.97 / $770.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.17 / $91.31 / $149.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.24 / $311.77 / $405.31
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $88.94 / $115.62