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Florida 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
$61.66 / $93.33 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $117.49 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $281.84 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $83.18 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $398.11 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $104.71 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $281.84 / $691.83
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $95.50 / $95.50
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $354.81 / $588.84
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $89.13 / $128.82
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $245.47 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $131.83 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $77.62 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $257.04 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $263.03
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $81.28
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $144.54 / $177.83