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Texas 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
$75.86 / $109.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $123.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $288.40 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $79.43 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $223.87 / $288.40
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $81.28 / $85.11
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
$245.47 / $446.68 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $331.13 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$776.25 / $776.25 / $776.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.69 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $109.65 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $128.82 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $309.03 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $251.19 / $660.69
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $138.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $104.71 / $169.82
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $323.59 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $758.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $91.20 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $288.40 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $223.87 / $223.87