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Rhode Island 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
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $194.98 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $380.19 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $891.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $251.19
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $302.00 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $676.08 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $204.17 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $457.09 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $131.83 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $363.08 / $831.76