go back

Pennsylvania rates for HCPCS 72159

Mra Spinal Canal W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.93 / $157.02 / $403.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.61 / $97.61 / $97.61
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.93 / $230.58 / $412.02
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.13 / $97.61 / $97.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.93 / $84.93 / $98.26