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West Virginia 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
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $281.84 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
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
$234.42 / $645.65 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $120.23 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $467.74 / $1,778.28
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $524.81 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $100.00 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $380.19 / $891.25