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Utah rates for HCPCS 72148

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material

Facilitymedian $398 · 10th–90th $129$4680%20%40%10th90th$398Professionalmedian $191 · 10th–90th $68$6030%5%10%10th90th$191$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $398.11 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $478.63 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $316.23
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$151.36 / $151.36 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $338.84 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $87.10 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $257.04 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $346.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $323.59 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $213.80 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $645.65
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $162.18 / $331.13
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $154.88 / $245.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $199.53 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $64.57 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $181.97 / $588.84