go back

Texas rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.08 / $90.49 / $123.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $387.47 / $638.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.08 / $109.67 / $171.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.26 / $267.82 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.37 / $80.47 / $138.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $208.83 / $335.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.69 / $292.89 / $392.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.66 / $79.66 / $85.60
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.82 / $96.82 / $96.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.95 / $435.00 / $888.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.73 / $102.49 / $182.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.52 / $305.77 / $717.54
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $775.84 / $792.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,447.72 / $3,551.15 / $3,551.15
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$665.40 / $665.40 / $683.93
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,996.90 / $3,086.80 / $3,086.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.76 / $439.25 / $648.74
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.39 / $135.04 / $327.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.69 / $304.23 / $737.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.78 / $223.74 / $449.97
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.82 / $96.82 / $96.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.29 / $471.81 / $868.48
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.23 / $102.49 / $174.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.19 / $305.77 / $712.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.11 / $410.05 / $799.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.80 / $91.31 / $164.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.49 / $291.33 / $583.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.20 / $254.69 / $361.48
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.84 / $80.47 / $111.00
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.36 / $183.91 / $1,400.00