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Nebraska rates for HCPCS 72149

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

Facilitymedian $263 · 10th–90th $263$7940%20%40%90th$263Professionalmedian $275 · 10th–90th $87$7080%5%10th90th$275$100.0$200.0$500.0$1.0K$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
$186.21 / $263.03 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $125.89 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $281.84 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $512.86 / $549.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $158.49 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $354.81 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $181.97 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $446.68 / $891.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $165.96 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $489.78 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $933.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $186.21 / $288.40
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $426.58 / $645.65
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $933.25 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $173.78 / $288.40
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $645.65 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $194.98 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $575.44 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $162.18 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $407.38 / $575.44