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Nebraska 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
$67.59 / $217.34 / $613.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $471.70 / $1,256.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $146.50 / $271.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$93.29 / $93.29 / $1,224.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.99 / $315.47 / $485.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $146.66 / $425.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.33 / $125.93 / $157.36
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.19 / $88.19 / $220.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.80 / $364.27 / $386.22
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.95 / $132.50 / $139.91
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.84 / $231.78 / $246.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$391.02 / $391.02 / $391.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.43 / $433.58 / $669.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.57 / $155.19 / $198.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.87 / $275.60 / $559.34
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$659.84 / $659.84 / $659.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.37 / $494.90 / $3,145.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.72 / $140.91 / $222.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.98 / $328.30 / $2,772.01
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$227.86 / $234.49 / $391.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.09 / $485.32 / $886.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.65 / $179.27 / $320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.37 / $441.74 / $576.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.89 / $140.91 / $180.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.58 / $288.89 / $462.43