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Delaware 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
$85.11 / $93.33 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $457.09 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $100.00 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $371.54 / $691.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $93.33 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $346.74 / $776.25