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Wyoming 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
$104.47 / $104.47 / $106.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.83 / $475.00 / $527.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.73 / $140.00 / $260.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.56 / $335.00 / $348.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,405.00 / $2,595.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$277.00 / $455.00 / $840.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$578.00 / $950.00 / $1,755.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $743.98 / $1,545.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.94 / $211.61 / $408.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$343.23 / $565.00 / $1,206.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.60 / $720.91 / $2,209.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.45 / $205.99 / $397.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$397.60 / $509.44 / $1,812.81