go back

Missouri 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
$150.28 / $157.61 / $240.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.56 / $481.32 / $2,408.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.50 / $177.46 / $585.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.99 / $335.00 / $1,461.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.02 / $483.62 / $483.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.98 / $113.70 / $171.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.20 / $444.51 / $1,315.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.00 / $145.33 / $266.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.20 / $300.41 / $1,049.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.22 / $124.22 / $124.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.11 / $550.00 / $1,342.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.10 / $159.85 / $270.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.26 / $389.36 / $1,148.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.00 / $1,016.96 / $1,016.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $818.97 / $6,199.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.19 / $164.70 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.54 / $615.47 / $5,551.18
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.16 / $556.16 / $556.16
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$197.64 / $197.64 / $197.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.18 / $525.99 / $1,280.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.33 / $149.72 / $234.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.46 / $356.02 / $921.07