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Wyoming rates for HCPCS 72149

Mri Spinal Canal Lumbar W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.33 / $81.33 / $82.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.42 / $445.41 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.16 / $139.52 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.26 / $305.89 / $335.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $1,187.00 / $2,193.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.00 / $355.00 / $656.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$506.00 / $832.00 / $1,537.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.59 / $626.39 / $1,240.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.31 / $147.08 / $317.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.05 / $450.00 / $868.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.54 / $608.76 / $1,700.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.95 / $176.23 / $289.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.75 / $432.53 / $1,425.59