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Massachusetts 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
$152.12 / $152.13 / $315.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.89 / $522.50 / $3,390.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.31 / $152.13 / $387.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.58 / $335.00 / $1,061.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$254.53 / $794.00 / $996.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.74 / $793.84 / $6,381.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.08 / $170.57 / $931.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.45 / $559.51 / $5,717.71
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.03 / $204.03 / $275.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$795.07 / $861.73 / $1,155.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.74 / $753.50 / $1,528.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.88 / $167.19 / $329.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.45 / $561.38 / $1,238.94
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.32 / $331.51 / $611.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.77 / $805.14 / $1,045.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.12 / $265.49 / $348.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.64 / $531.80 / $697.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.81 / $221.66 / $309.54
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.00 / $996.56 / $996.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.24 / $989.83 / $6,381.10
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.21 / $175.94 / $931.20
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.10 / $649.92 / $5,717.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.02 / $749.57 / $1,400.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.62 / $151.62 / $346.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.95 / $412.91 / $1,025.01