go back

New Mexico rates for HCPCS 72149

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

Facilitymedian $120 · 10th–90th $115$1200%50%10th$120Professionalmedian $257 · 10th–90th $85$6030%5%10th90th$257$50.0$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
$114.82 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $112.20 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $269.15 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $190.55 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $630.96 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $109.65 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $524.81 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $316.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $162.18
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $524.81 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $77.62 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $416.87 / $758.58