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Virginia 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
$118.59 / $190.30 / $338.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.24 / $486.64 / $844.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.81 / $155.65 / $252.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.91 / $335.00 / $500.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.32 / $387.89 / $641.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.96 / $124.52 / $193.24
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.37 / $261.35 / $472.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.88 / $525.98 / $3,418.82
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.50 / $129.12 / $170.97
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$395.76 / $402.45 / $784.78
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
$299.72 / $665.75 / $1,414.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.99 / $150.13 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.90 / $471.60 / $1,190.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $372.73 / $459.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.93 / $120.97 / $145.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.68 / $255.21 / $312.76
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.65 / $249.00 / $383.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $467.00 / $1,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.67 / $619.79 / $1,368.16
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.75 / $164.75 / $243.95
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.81 / $471.83 / $825.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.38 / $528.33 / $1,493.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.41 / $136.97 / $231.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.10 / $387.42 / $1,111.34