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Arkansas rates for HCPCS 72156

Mri Spinal Canal Cervical W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.20 / $176.61 / $190.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.97 / $543.46 / $778.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.00 / $176.40 / $363.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.31 / $375.25 / $606.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.62 / $488.46 / $584.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.38 / $175.30 / $195.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.58 / $331.49 / $354.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.90 / $473.70 / $526.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.32 / $155.28 / $172.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.58 / $318.42 / $353.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.29 / $211.76 / $367.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.79 / $704.87 / $1,597.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.87 / $171.10 / $236.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.25 / $457.31 / $1,381.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.16 / $561.73 / $672.70
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.05 / $205.63 / $247.25
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.98 / $381.21 / $407.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.48 / $614.16 / $1,271.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.91 / $149.18 / $225.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.74 / $391.65 / $952.84