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Pennsylvania rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.52 / $155.74 / $403.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.88 / $402.08 / $546.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.08 / $126.00 / $389.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.73 / $164.73 / $164.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.89 / $64.91 / $78.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.94 / $278.05 / $586.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.23 / $87.41 / $166.43
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 / $516.12 / $915.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.01 / $106.52 / $172.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.07 / $428.60 / $1,426.39
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.18 / $110.71 / $174.72
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.78 / $111.08 / $805.35
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.52 / $165.06 / $412.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $425.00 / $1,362.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $126.00 / $307.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $280.47 / $700.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $96.46 / $96.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.77 / $490.83 / $873.26
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.96 / $106.73 / $172.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.94 / $83.94 / $105.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.85 / $273.94 / $615.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $84.01 / $105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.16 / $393.12 / $700.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.02 / $99.40 / $167.94