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Colorado 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.34 / $141.56 / $171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.58 / $475.00 / $750.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.70 / $140.00 / $371.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.27 / $335.00 / $477.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.76 / $456.02 / $1,201.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.42 / $154.04 / $222.75
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.71 / $311.94 / $840.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.26 / $217.26 / $217.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.54 / $610.00 / $1,373.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.68 / $144.83 / $241.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.94 / $445.29 / $1,042.81
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.15 / $604.15 / $642.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.54 / $538.84 / $825.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.33 / $175.58 / $400.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.20 / $363.25 / $825.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.81 / $671.46 / $1,204.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.88 / $192.70 / $305.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.79 / $477.82 / $825.48