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Maryland rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $126.00 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.37 / $425.00 / $1,372.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.23 / $126.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.13 / $328.25 / $689.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $457.75 / $555.66
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.88 / $96.33 / $110.11
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.27 / $361.42 / $469.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.41 / $490.00 / $863.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.23 / $100.51 / $192.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.77 / $372.97 / $681.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.61 / $367.15 / $623.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.32 / $102.49 / $151.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.98 / $256.68 / $521.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.01 / $375.97 / $834.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.64 / $87.71 / $149.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.58 / $291.33 / $659.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.69 / $309.45 / $402.29
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.50 / $89.70 / $116.61
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.18 / $219.75 / $280.92