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Kansas 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
$154.97 / $201.44 / $269.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.00 / $475.00 / $802.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $168.21 / $269.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.64 / $351.25 / $532.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.88 / $352.82 / $352.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.53 / $82.96 / $115.77
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.34 / $247.56 / $247.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.69 / $558.82 / $1,641.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.10 / $155.74 / $212.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.67 / $390.53 / $1,429.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.00 / $1,016.96 / $1,016.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.04 / $865.03 / $6,195.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.21 / $167.45 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.19 / $748.82 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.25 / $705.50 / $1,258.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.21 / $135.08 / $222.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.95 / $436.83 / $923.66