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Wyoming 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 / $104.47 / $106.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.16 / $475.00 / $528.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.27 / $140.00 / $260.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.88 / $335.00 / $349.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.00 / $1,408.00 / $2,600.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$277.00 / $455.00 / $840.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$580.00 / $953.00 / $1,760.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.58 / $695.22 / $1,307.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.94 / $169.83 / $331.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$343.70 / $515.54 / $899.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.72 / $722.30 / $2,090.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.46 / $205.98 / $397.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.72 / $495.93 / $1,692.88