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Delaware rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.48 / $91.50 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $475.00 / $650.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.22 / $126.00 / $189.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$98.96 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.70 / $299.00 / $368.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.77 / $379.52 / $691.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.21 / $77.25 / $128.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.48 / $285.63 / $597.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.28 / $195.28 / $241.26
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.73 / $70.56 / $657.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.48 / $400.00 / $675.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.77 / $73.09 / $166.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.05 / $246.56 / $591.96