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Colorado rates for HCPCS 72149

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $107.15 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $131.83 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $302.00 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $114.82 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $263.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $478.63 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $323.59 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $2,570.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $131.83 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $309.03 / $2,187.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $436.52
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $194.98
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $199.53 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $537.03 / $933.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $117.49 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $407.38 / $676.08