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North Dakota 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
$85.11 / $89.13 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $302.00 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $707.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $194.98 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $436.52 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $125.89 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $371.54 / $660.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $588.84 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $165.96 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $436.52 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $794.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $147.91 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $407.38 / $660.69