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Kansas 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 $245 · 10th–90th $195$5370%20%10th90th$245Professionalmedian $302 · 10th–90th $112$7080%5%10th90th$302$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$194.98 / $245.47 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $467.74 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $162.18 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $316.23 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $81.28 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $549.54 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $144.54 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $380.19 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $891.25 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $154.88 / $912.01
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $676.08 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $562.34 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $128.82 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $1,023.29