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Rhode Island rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$540.39 / $540.39 / $540.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.20 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.21 / $140.00 / $499.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.56 / $401.84 / $869.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.31 / $120.44 / $180.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.05 / $581.15 / $853.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.15 / $170.13 / $180.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.37 / $478.43 / $723.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.58 / $112.78 / $179.04