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Georgia 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 $186 · 10th–90th $85$5010%20%10th90th$186Professionalmedian $316 · 10th–90th $107$8710%5%10th90th$316$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
$85.11 / $186.21 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $169.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $141.25 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $147.91 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $426.58 / $1,258.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $758.58 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $165.96 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $501.19 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $144.54 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $281.84 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $302.00 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $131.83 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $407.38 / $1,096.48