MRI scan of lower spinal canal with contrast
| 2020 CPT/HCPCS | 72149 |
| Negotiated Private Fee | $720.00 |
| Prossam | $500.00 |
| Champva | $311.39 |
| First Medical | $625.00 |
| First Medical Vital | $222.15 |
| Plan de Salud Menonita | $700.00 |
| Menonita Vital | $264.36 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $725.00 |
| Mapfre | $650.00 |
| Mcs Classicare | $387.50 |
| MCS Life | $542.50 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $344.03 |
| MMM Vital | $231.32 |
| Panamerican Life | $725.00 |
| PMC | $344.03 |
| Tricare | $296.62 |
| Triple S Salud | $650.00 |
| Triple S Vital | $262.50 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $222.15 |
| Negotiated Maximus Charge | $725.00 |
| Discounted Cash Price | $576.00 |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
