go back

Illinois rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.78 / $116.12 / $175.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.52 / $475.00 / $1,355.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.65 / $125.90 / $416.99
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$99.20 / $135.33 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.63 / $234.99 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.58 / $160.28 / $228.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.43 / $59.53 / $95.38
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$35.21 / $35.21 / $35.21
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.30 / $146.94 / $149.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $226.45 / $478.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.59 / $92.59 / $92.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $324.79 / $786.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.30 / $97.74 / $148.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.48 / $207.77 / $595.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.04 / $345.40 / $2,284.48
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.78 / $120.11 / $523.92
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.68 / $220.68 / $1,714.30
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.45 / $234.52 / $253.14
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.94 / $87.01 / $91.85
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.44 / $149.58 / $161.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $93.70 / $264.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $376.02 / $666.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.89 / $92.13 / $144.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.13 / $241.97 / $519.86