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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
$61.66 / $74.13 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $177.83 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $331.13 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $125.89 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $117.49 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $478.63 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $128.82 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $323.59 / $1,047.13
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $120.23 / $120.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $912.01
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $114.82 / $165.96
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $281.84 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $158.49 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $104.71 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $295.12 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $165.96 / $204.17