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Minnesota 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
$110.82 / $110.82 / $110.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.44 / $475.00 / $4,241.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.21 / $140.00 / $596.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.54 / $335.00 / $522.54
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.28 / $91.28 / $91.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.36 / $956.58 / $1,160.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$189.26 / $311.45 / $377.74
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$445.13 / $645.14 / $782.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$241.83 / $377.44 / $907.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $673.24 / $1,288.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.81 / $204.96 / $357.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$337.49 / $463.28 / $970.24
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$209.57 / $332.78 / $714.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $653.50 / $1,086.52
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.38 / $204.96 / $325.79
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$337.49 / $442.09 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,016.96 / $1,016.96 / $1,016.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.73 / $874.86 / $6,195.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.25 / $234.58 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.12 / $521.54 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.05 / $743.66 / $1,245.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.29 / $199.40 / $368.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.95 / $490.06 / $855.49