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Indiana rates for HCPCS 72149

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

Facilitymedian $110 · 10th–90th $100$1380%50%10th90th$110Professionalmedian $263 · 10th–90th $91$6030%5%10th90th$263$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$100.00 / $109.65 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $123.03 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $269.15 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $114.82 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $562.34 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $117.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $398.11 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $95.50 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $288.40 / $691.83