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Hawaii rates for HCPCS 72149

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

Facilitymedian $95 · 10th–90th $85$1120%10%20%10th90th$95Professionalmedian $295 · 10th–90th $105$8510%5%10th90th$295$100.0$200.0$500.0$1.0K$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
$85.11 / $95.50 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $288.40 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $104.71 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $380.19 / $562.34
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $870.96 / $977.24
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $114.82 / $120.23
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $676.08 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $100.00 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $257.04 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $630.96 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $134.90 / $691.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $436.52 / $1,071.52
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $660.69 / $977.24
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $186.21
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $549.54 / $831.76