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California rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $517.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.18 / $475.00 / $1,799.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.34 / $140.00 / $470.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.26 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.54 / $62.54 / $62.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.27 / $658.63 / $1,223.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.84 / $114.22 / $225.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.21 / $543.54 / $983.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.33 / $407.37 / $987.91
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.53 / $107.97 / $261.32
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.95 / $300.33 / $717.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.82 / $96.82 / $96.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.55 / $534.96 / $1,018.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.58 / $104.49 / $236.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.29 / $410.31 / $844.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.52 / $354.60 / $478.71
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.04 / $93.92 / $126.79
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.49 / $260.68 / $351.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.29 / $369.43 / $675.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.53 / $122.10 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.28 / $305.77 / $568.28
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$775.84 / $775.84 / $792.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,447.72 / $3,551.15 / $3,551.15
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$665.40 / $665.40 / $683.93
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,996.90 / $3,086.80 / $3,086.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $217.72
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.82 / $96.82 / $96.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.51 / $582.26 / $916.92
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.95 / $102.58 / $228.72
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.89 / $414.97 / $811.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.63 / $1,035.63 / $1,035.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$290.20 / $290.20 / $290.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$745.42 / $745.42 / $745.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $394.31 / $1,663.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.11 / $427.55 / $915.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.15 / $91.45 / $214.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.49 / $337.73 / $726.15