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Missouri rates for HCPCS 72149

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

Facilitymedian $178 · 10th–90th $102$4270%20%10th90th$178Professionalmedian $282 · 10th–90th $95$6610%5%10th90th$282$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
$117.49 / $177.83 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $109.65 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $257.04 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $295.12 / $446.68
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $91.20 / $125.89
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $204.17 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $117.49 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $323.59 / $776.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $125.89 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $446.68 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $831.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $104.71 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $275.42 / $616.60