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Michigan rates for HCPCS 72149

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

Facilitymedian $110 · 10th–90th $110$1150%50%90th$110Professionalmedian $295 · 10th–90th $105$6760%5%10th90th$295$20.0$100.0$500.0$2.0K

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
$109.65 / $109.65 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $331.13 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $181.97
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $501.19 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $109.65 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $346.74 / $676.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $204.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $467.74 / $891.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $120.23 / $263.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $346.74 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $102.33 / $154.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $316.23 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $380.19 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $100.00 / $524.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $269.15 / $645.65