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Vermont rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $577.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.50 / $127.50 / $154.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$187.50 / $212.50 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.50 / $297.50 / $477.24
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$433.83 / $433.83 / $433.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.94 / $845.95 / $1,099.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.21 / $93.21 / $295.58
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.73 / $175.73 / $201.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.66 / $492.22 / $845.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.66 / $104.17 / $295.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $204.22 / $640.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.66 / $492.22 / $845.95
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.44 / $104.17 / $295.58
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $204.22 / $611.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.96 / $462.01 / $899.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.34 / $105.14 / $314.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.72 / $300.58 / $668.01