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Wisconsin rates for HCPCS 72159

Mra Spinal Canal W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$178.20 / $178.20 / $199.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$224.38 / $262.20 / $348.49
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$799.28 / $799.28 / $799.28
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$203.25 / $799.28 / $799.28