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Kentucky rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.50 / $82.50 / $111.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.92 / $331.93 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.50 / $106.71 / $193.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.43 / $230.95 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.18 / $63.18 / $78.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $375.25 / $574.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.20 / $99.06 / $147.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.33 / $267.91 / $432.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $126.35 / $336.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.82 / $96.82 / $96.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.75 / $601.07 / $1,107.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.90 / $133.00 / $203.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.50 / $477.64 / $932.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $377.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.30 / $445.58 / $678.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.90 / $95.79 / $131.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $336.16 / $574.29