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Maryland rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.07 / $126.00 / $250.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.32 / $475.00 / $1,234.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.22 / $140.00 / $271.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$117.18 / $212.50 / $588.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.06 / $335.00 / $801.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.37 / $317.08 / $506.77
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.17 / $80.66 / $105.98
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.78 / $236.43 / $435.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.53 / $377.69 / $725.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.63 / $84.02 / $163.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.37 / $276.81 / $597.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.84 / $259.08 / $491.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.63 / $84.74 / $125.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.21 / $167.97 / $371.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.03 / $267.45 / $671.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.99 / $71.47 / $119.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.71 / $191.77 / $473.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.66 / $217.87 / $283.23
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.50 / $74.06 / $96.29
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.17 / $143.80 / $183.84