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North Dakota 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
$115.25 / $154.43 / $185.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.89 / $475.00 / $598.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.10 / $140.00 / $299.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.58 / $335.00 / $378.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.74 / $791.95 / $830.53
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.70 / $263.72 / $275.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$428.05 / $528.24 / $553.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.22 / $124.22 / $124.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.10 / $725.00 / $1,485.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.85 / $201.73 / $282.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.01 / $511.16 / $1,194.82
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
$374.25 / $766.72 / $6,195.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.29 / $230.48 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$294.93 / $536.24 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.25 / $690.05 / $935.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.29 / $210.98 / $297.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.42 / $482.62 / $794.47