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Alaska rates for HCPCS 72158

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar

Facilitymedian $631 · 10th–90th $347$8320%20%10th90th$631Professionalmedian $347 · 10th–90th $112$1,0960%5%10th90th$347$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$398.11 / $660.69 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $162.18 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $338.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,122.02 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $213.80 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $812.83 / $1,122.02
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $630.96 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $912.01 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $316.23 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $575.44 / $1,288.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,380.38 / $2,290.87
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $436.52 / $741.31
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,202.26
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $338.84 / $371.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $794.33 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $1,122.02 / $3,548.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $323.59 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $741.31 / $2,754.23