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Washington 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
$95.50 / $158.49 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $316.23 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $562.34 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $125.89 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $416.87 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $165.96 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $154.88 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $478.63 / $794.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $123.03
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $165.96 / $169.82
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $144.54 / $177.83
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $389.05 / $794.33
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $181.97 / $245.47
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $436.52 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $177.83 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $426.58 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $95.50 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $338.84 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $537.03
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $95.50 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $229.09 / $371.54