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West Virginia rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.02 / $86.02 / $86.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $400.00 / $491.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.02 / $118.59 / $140.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.98 / $94.98 / $94.98
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
$250.81 / $593.48 / $2,561.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.31 / $134.52 / $440.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.67 / $648.99 / $1,377.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.30 / $122.50 / $208.45