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Wisconsin rates for RC 0612

MRI - Spinal Cord (Including Spine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.00 / $1,114.00 / $1,114.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.00 / $1,840.00 / $3,699.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,550.00 / $2,550.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.96 / $3,221.69 / $4,207.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $1,417.00 / $1,417.00
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.48 / $1,973.66 / $2,306.59