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Idaho 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 $158 · 10th–90th $141$4270%20%10th90th$158Professionalmedian $339 · 10th–90th $115$7760%5%10th90th$339$20.0$50.0$100.0$200.0$500.0$1.0K$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
$141.25 / $158.49 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $177.83 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $354.81 / $776.25
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $588.84 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $204.17 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $389.05 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $812.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,398.83 / $2,398.83
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $1,513.56 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $363.08 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $1,258.93
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $208.93 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $426.58 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $218.78 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $457.09 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $263.03
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $218.78 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $117.49 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $398.11 / $933.25