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Rhode Island rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$540.39 / $540.39 / $540.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.41 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.21 / $140.00 / $470.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.20 / $335.00 / $420.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.93 / $398.74 / $951.99
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.86 / $121.23 / $167.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.25 / $277.50 / $315.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.07 / $574.28 / $807.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.15 / $165.00 / $180.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.76 / $403.58 / $575.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.42 / $490.79 / $715.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.73 / $112.78 / $179.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.31 / $319.68 / $596.71