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California rates for HCPCS 72157

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.14 / $140.00 / $665.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $488.36 / $2,350.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.31 / $176.40 / $567.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.93 / $335.00 / $720.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $399.39 / $717.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.30 / $123.35 / $267.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $851.98 / $1,767.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.10 / $159.69 / $319.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.79 / $691.96 / $1,519.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.88 / $481.24 / $1,174.17
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $137.94 / $335.23
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.31 / $344.46 / $826.39
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
$302.77 / $659.23 / $1,560.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.98 / $137.76 / $307.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.04 / $469.40 / $1,338.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.58 / $418.42 / $564.87
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.94 / $120.56 / $162.76
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.64 / $297.86 / $402.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.77 / $435.70 / $809.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.50 / $156.24 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.96 / $349.35 / $685.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$996.56 / $996.56 / $1,016.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,195.24 / $6,381.10 / $6,381.10
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$931.20 / $931.20 / $931.20
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5,551.18 / $5,717.71 / $5,717.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $249.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.22 / $124.22 / $124.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $725.38 / $1,470.65
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.88 / $135.78 / $304.58
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.03 / $488.53 / $1,338.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.91 / $1,227.91 / $1,227.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$373.09 / $373.09 / $373.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$854.82 / $854.82 / $854.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $465.26 / $2,368.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $525.44 / $1,389.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.64 / $128.88 / $277.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.41 / $400.36 / $947.11