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Connecticut 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 $437 · 10th–90th $186$5130%20%10th90th$437Professionalmedian $302 · 10th–90th $110$1,2590%5%10th90th$302$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
$186.21 / $436.52 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $588.84 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $165.96 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $912.01 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $218.78 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $575.44 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,023.29 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $162.18 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $758.58 / $1,318.26
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,023.29 / $1,584.89
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $144.54 / $173.78
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $371.54 / $812.83
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $1,737.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $138.04 / $467.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $331.13 / $1,318.26