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Montana rates for HCPCS 72147

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $131.83 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $588.84 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $109.65 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $831.76
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $162.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $812.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $131.83 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $85.11 / $154.88