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Florida 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
$62.50 / $92.82 / $367.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.00 / $775.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $126.00 / $314.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $282.87 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $232.51 / $316.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.98 / $123.01 / $229.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.22 / $124.22 / $331.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.85 / $500.96 / $1,355.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.95 / $131.36 / $246.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.68 / $350.88 / $1,120.83
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.52 / $121.52 / $121.52
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.95 / $460.52 / $977.07
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.06 / $130.62 / $164.66
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.45 / $319.23 / $859.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.12 / $209.28 / $388.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.18 / $432.73 / $1,034.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.15 / $102.50 / $216.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.72 / $285.50 / $757.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.67 / $227.67 / $227.67
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.12 / $74.12 / $74.12
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.54 / $153.54 / $153.54