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Iowa rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.23 / $272.60 / $503.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $425.00 / $669.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.75 / $126.00 / $182.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.40 / $299.00 / $368.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$265.55 / $273.52 / $281.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.13 / $707.68 / $1,346.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.15 / $192.37 / $267.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.77 / $524.07 / $1,127.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.70 / $445.51 / $1,633.19
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.97 / $129.03 / $444.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.72 / $303.88 / $1,391.75
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $792.16 / $792.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.18 / $580.29 / $3,447.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.47 / $146.10 / $665.40
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.52 / $405.86 / $2,996.90
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$273.52 / $281.48 / $469.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.02 / $663.93 / $1,070.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $253.76 / $451.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.02 / $435.23 / $903.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.97 / $130.83 / $267.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.22 / $355.12 / $616.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.03 / $612.70 / $720.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.76 / $188.30 / $221.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.20 / $424.30 / $499.20