go back

Wyoming 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
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $302.00 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $338.84 / $630.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.78 / $758.58 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $177.83 / $371.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $467.74 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $162.18 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $457.09 / $1,412.54