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Arkansas 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 $174 · 10th–90th $120$1910%20%10th90th$174Professionalmedian $269 · 10th–90th $110$6030%5%10th90th$269$20.0$100.0$500.0$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
$120.23 / $173.78 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $169.82 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $323.59 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $407.38 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $134.90 / $173.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $275.42 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $257.04 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $123.03 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $676.08 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $144.54 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $446.68 / $1,380.38
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Qualchoice
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $208.93 / $229.09
Qualchoice
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $363.08 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $131.83 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $363.08 / $1,000.00