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Alaska rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.48 / $507.74 / $994.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.04 / $522.50 / $1,070.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.44 / $154.00 / $456.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$422.85 / $535.21 / $535.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.86 / $368.50 / $638.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.08 / $712.03 / $900.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.97 / $242.69 / $270.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.11 / $469.35 / $630.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.65 / $566.46 / $1,479.01
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.00 / $207.07 / $511.50
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.74 / $361.95 / $739.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.50 / $821.60 / $1,367.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$261.25 / $282.14 / $477.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$466.25 / $540.85 / $899.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.58 / $778.75 / $1,337.70
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$227.78 / $316.50 / $471.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$474.00 / $629.17 / $896.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.70 / $797.55 / $1,129.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.15 / $260.55 / $442.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.26 / $484.89 / $736.39