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Connecticut rates for HCPCS 72149

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

Facilitymedian $339 · 10th–90th $186$3980%20%10th90th$339Professionalmedian $275 · 10th–90th $93$6760%5%10th90th$275$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$186.21 / $338.84 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $660.69 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $162.18 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $467.74 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $758.58 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $125.89 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $602.56 / $812.83
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $758.58 / $891.25
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $112.20 / $134.90
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $323.59 / $660.69
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $109.65 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $295.12 / $1,000.00