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Wyoming rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.79 / $80.79 / $82.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $448.97 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $139.52 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.00 / $1,198.00 / $2,214.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.00 / $355.00 / $656.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.91 / $587.89 / $1,033.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.66 / $131.90 / $252.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.37 / $614.34 / $1,567.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.73 / $160.36 / $300.41