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Ohio 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
$89.13 / $114.82 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $309.03 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $83.18 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $114.82 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $338.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $114.82 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $316.23 / $741.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $977.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $114.82 / $208.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $316.23 / $794.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$426.58 / $426.58 / $426.58
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $489.78
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $100.00 / $177.83
SummaCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $112.20 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $741.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $257.04 / $549.54