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Rhode Island 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
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $154.88 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $338.84 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $741.31
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $107.15 / $177.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $263.03 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $575.44 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $165.96 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $407.38 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $102.33 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $323.59 / $524.81