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Maine rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.43 / $167.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.74 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.89 / $140.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.29 / $212.50 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.17 / $335.00 / $433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.79 / $274.08 / $402.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.72 / $95.40 / $144.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.02 / $178.14 / $257.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.41 / $394.25 / $903.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.81 / $112.82 / $158.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.43 / $265.39 / $669.49
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.00 / $229.00 / $229.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.90 / $288.69 / $520.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.15 / $103.67 / $187.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.75 / $185.02 / $333.76
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.43 / $97.93 / $438.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.79 / $475.00 / $649.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.43 / $140.00 / $176.25
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$110.51 / $212.50 / $300.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.49 / $322.47 / $433.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $309.22 / $548.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.15 / $117.02 / $175.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.61 / $198.16 / $360.78