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North Dakota rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.63 / $89.63 / $143.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.85 / $316.27 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.34 / $89.63 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.09 / $672.68 / $705.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.04 / $203.67 / $212.88
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
$398.98 / $590.49 / $1,006.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.16 / $156.69 / $218.06
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$789.76 / $789.76 / $789.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.89 / $648.98 / $3,480.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.31 / $170.80 / $701.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.31 / $611.40 / $921.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.31 / $164.36 / $223.39