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Indiana rates for HCPCS 72148

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.51 / $83.30 / $122.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.33 / $323.48 / $594.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.02 / $91.64 / $181.13
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$95.17 / $105.26 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.64 / $170.71 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.83 / $149.63 / $281.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.06 / $53.34 / $97.62
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 / $659.75 / $659.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.10 / $419.56 / $626.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.64 / $109.89 / $142.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.83 / $308.23 / $477.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.33 / $132.30 / $228.84
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
$191.63 / $485.00 / $946.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.81 / $92.55 / $172.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.80 / $391.64 / $762.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.07 / $331.31 / $787.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.25 / $79.95 / $155.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.91 / $231.55 / $570.79