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Massachusetts 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
$107.15 / $165.96 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $229.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $338.84 / $912.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $1,000.00 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $707.95 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $151.36 / $933.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $537.03 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $213.80 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $724.44 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $165.96 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $524.81 / $1,174.90
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $346.74 / $724.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $165.96 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $363.08 / $676.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $870.96
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $1,000.00 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $691.83 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $151.36 / $933.25
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $537.03 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $151.36 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $426.58 / $1,023.29