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Rhode Island 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
$694.26 / $694.26 / $694.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.19 / $535.76 / $738.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.26 / $152.13 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.92 / $383.63 / $420.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.79 / $472.69 / $1,051.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.00 / $155.72 / $241.76
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.88 / $316.97 / $360.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.86 / $684.62 / $1,081.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.44 / $219.08 / $232.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.50 / $472.88 / $753.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $580.83 / $1,111.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.67 / $144.88 / $230.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.55 / $367.03 / $833.23