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Vermont rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $425.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.50 / $127.50 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.30 / $477.59 / $1,213.52
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.65 / $120.65 / $120.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.77 / $710.27 / $1,213.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.69 / $125.20 / $355.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.77 / $710.27 / $1,213.52
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.69 / $125.20 / $355.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.31 / $662.76 / $1,290.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.44 / $126.20 / $378.54