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Nebraska rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.34 / $437.98 / $738.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.85 / $290.89 / $1,816.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.34 / $140.00 / $504.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.54 / $518.98 / $552.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.55 / $158.78 / $168.37
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.60 / $468.60 / $468.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.81 / $617.04 / $938.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.28 / $185.85 / $239.50
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
$439.02 / $641.80 / $3,480.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.57 / $172.44 / $701.72
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$293.88 / $302.44 / $468.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.82 / $659.86 / $1,049.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.71 / $255.28 / $453.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.02 / $610.97 / $731.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.15 / $170.82 / $216.98