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Virginia rates for HCPCS 72149

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)

Facilitymedian $191 · 10th–90th $117$5500%10%10th90th$191Professionalmedian $269 · 10th–90th $95$6030%5%10th90th$269$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $190.55 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $141.25 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $302.00 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $371.54 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $398.11 / $1,905.46
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $117.49 / $147.91
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $288.40 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $524.81 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $104.71 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $380.19 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $223.87 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $933.25 / $954.99
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $158.49 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $549.54
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $398.11 / $1,584.89
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $114.82 / $186.21
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $316.23 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $100.00 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $331.13 / $794.33