go back

Idaho rates for HCPCS 72156

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$157.12 / $410.12 / $413.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.97 / $522.50 / $1,021.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.59 / $157.12 / $360.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.22 / $340.00 / $676.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.43 / $312.31 / $931.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.87 / $101.56 / $205.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.57 / $210.75 / $635.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.07 / $1,948.07 / $2,352.39
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$891.78 / $891.78 / $891.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,056.29 / $1,056.29 / $1,460.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.83 / $598.60 / $784.48
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.46 / $199.75 / $233.39
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.38 / $398.87 / $466.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $195.76 / $508.50
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $714.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $676.09 / $784.48
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$187.48 / $220.57 / $265.52
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$387.20 / $455.53 / $518.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.50 / $558.97 / $1,185.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.70 / $123.50 / $232.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.80 / $409.98 / $944.30