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Louisiana 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
$72.77 / $110.00 / $129.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.50 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.29 / $110.00 / $146.32
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$83.43 / $275.00 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.80 / $335.00 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.79 / $171.84 / $214.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.48 / $73.50 / $129.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.70 / $330.96 / $447.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.61 / $114.32 / $140.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.10 / $212.87 / $305.63
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.86 / $67.65 / $102.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.29 / $240.16 / $615.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.84 / $83.01 / $142.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.45 / $145.34 / $500.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $265.04 / $640.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.47 / $78.20 / $121.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.24 / $161.33 / $442.11