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Maryland 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
$126.00 / $151.19 / $250.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,923.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.32 / $155.65 / $394.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $1,120.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.36 / $525.98 / $997.71
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.15 / $129.12 / $162.32
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$362.21 / $402.45 / $874.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.91 / $590.00 / $1,263.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.09 / $139.07 / $254.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.88 / $426.42 / $1,099.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.53 / $434.12 / $784.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.30 / $134.25 / $216.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.53 / $292.22 / $597.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.48 / $485.15 / $1,137.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.09 / $117.29 / $192.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.58 / $336.88 / $826.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.22 / $365.42 / $475.05
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.00 / $115.21 / $149.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.22 / $250.21 / $319.88