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Delaware rates for HCPCS 72157

Mri Spinal Canal Thoracic W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.57 / $142.24 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.16 / $475.00 / $544.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.27 / $140.00 / $168.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.88 / $335.00 / $376.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.52 / $629.23 / $1,260.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.52 / $128.58 / $203.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.68 / $497.98 / $1,103.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.41 / $391.55 / $494.22
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.91 / $105.91 / $1,109.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.39 / $563.74 / $1,299.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.46 / $136.97 / $256.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.71 / $430.79 / $1,184.98