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Nebraska 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
$104.47 / $350.14 / $947.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.58 / $475.00 / $2,133.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.37 / $255.76 / $606.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.20 / $335.00 / $720.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.63 / $712.63 / $712.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.97 / $184.94 / $243.59
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$385.00 / $385.00 / $385.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.96 / $610.29 / $649.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.16 / $204.34 / $216.05
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$379.81 / $405.98 / $433.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$603.00 / $603.00 / $603.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.30 / $725.83 / $1,104.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.34 / $238.76 / $308.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.97 / $484.88 / $788.72
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
$517.13 / $831.91 / $6,195.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.75 / $221.26 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$349.68 / $582.79 / $5,551.18
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$391.93 / $403.34 / $603.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.35 / $785.74 / $1,485.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $300.37 / $536.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.13 / $758.45 / $1,056.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.94 / $219.18 / $279.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.74 / $512.86 / $735.71