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North Carolina rates for HCPCS 72149

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

Facilitymedian $117 · 10th–90th $85$3390%10%20%10th90th$117Professionalmedian $282 · 10th–90th $112$7940%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
$85.11 / $117.49 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $138.04 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $316.23 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $204.17 / $257.04
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $660.69 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $128.82 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $489.78 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $251.19 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $389.05 / $660.69
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30