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Florida 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 $93 · 10th–90th $62$3390%20%10th90th$93Professionalmedian $288 · 10th–90th $105$8510%5%10th90th$288$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
$63.10 / $74.13 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $169.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $338.84 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $575.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $489.78 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $125.89 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $331.13 / $1,122.02
Florida Blue
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $912.01
Florida Blue
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $114.82 / $162.18
Florida Blue
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $281.84 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $154.88 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $107.15 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $851.14
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87