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Washington, DC 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 $288 · 10th–90th $117$6920%20%10th90th$288Professionalmedian $282 · 10th–90th $110$9120%5%10%10th90th$282$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
$117.49 / $288.40 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $194.98 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $478.63 / $3,801.89
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $123.03 / $134.90
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $323.59 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $707.95 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $134.90 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $489.78 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $251.19 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $371.54 / $3,388.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $281.84 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $263.03 / $1,445.44