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Washington rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.18 / $124.31 / $257.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $494.18 / $922.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.27 / $140.00 / $257.38
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$125.00 / $187.90 / $304.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.21 / $335.00 / $499.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.61 / $363.21 / $562.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $117.07 / $135.36
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.86 / $231.86 / $235.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$659.84 / $659.84 / $659.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.20 / $472.81 / $3,145.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.02 / $171.97 / $580.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$39.94 / $39.94 / $189.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.18 / $330.00 / $2,772.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.81 / $424.12 / $833.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.09 / $127.93 / $222.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.61 / $294.89 / $630.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.05 / $158.80 / $698.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.04 / $501.11 / $1,141.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.13 / $149.29 / $192.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.49 / $343.72 / $964.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.16 / $177.58 / $385.40
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.87 / $137.85 / $142.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.34 / $160.34 / $257.83
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.42 / $125.73 / $155.49
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $270.18 / $580.50
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.13 / $95.13 / $95.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.24 / $464.57 / $579.38
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.88 / $163.26 / $195.90
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.98 / $300.00 / $382.98
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.20 / $408.28 / $585.85
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.02 / $144.63 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.18 / $268.32 / $390.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.74 / $378.22 / $684.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.73 / $84.40 / $212.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.01 / $253.26 / $480.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.13 / $220.13 / $220.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.17 / $73.17 / $73.17
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.96 / $146.96 / $146.96