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New York rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.75 / $119.21 / $227.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $402.08 / $753.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.50 / $119.21 / $180.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.35 / $339.38 / $1,036.46
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.83 / $93.90 / $204.16
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.41 / $306.80 / $430.21
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
$241.30 / $619.24 / $1,554.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.96 / $119.44 / $266.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.89 / $386.18 / $771.80
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.42 / $108.87 / $174.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.64 / $406.35 / $581.59
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.99 / $100.08 / $176.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.12 / $766.12 / $766.12
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.08 / $107.08 / $206.45
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.46 / $96.46 / $96.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.05 / $647.47 / $1,398.67
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.81 / $133.34 / $262.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.64 / $366.01 / $883.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.31 / $91.82 / $237.78
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.43 / $98.43 / $309.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.55 / $428.83 / $769.07
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.99 / $127.64 / $232.21