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Georgia rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.00 / $102.90 / $313.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.32 / $425.00 / $1,108.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.84 / $108.44 / $271.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$117.18 / $212.50 / $563.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.17 / $340.00 / $652.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.96 / $167.98 / $324.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.21 / $88.88 / $125.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.09 / $209.09 / $209.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.32 / $360.07 / $771.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.70 / $95.02 / $190.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.98 / $208.05 / $643.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $149.22 / $241.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.59 / $80.59 / $80.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $530.00 / $1,045.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.73 / $120.90 / $210.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.22 / $370.56 / $837.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.04 / $376.44 / $1,472.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.62 / $118.96 / $261.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$172.36 / $172.36 / $242.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.41 / $240.76 / $1,305.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.22 / $183.89 / $348.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.50 / $389.44 / $831.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.52 / $94.65 / $166.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.58 / $240.84 / $595.10