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Massachusetts 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
$83.18 / $141.25 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $151.36 / $467.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $331.13 / $691.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $776.25 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $3,548.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $117.49 / $660.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $457.09 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $165.96 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $616.60 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $123.03 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $467.74 / $812.83
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $295.12 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $870.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $309.03 / $562.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $676.08 / $724.44
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $776.25 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $3,548.13
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $117.49 / $660.69
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $457.09 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $117.49 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $371.54 / $758.58