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Louisiana 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 $120 · 10th–90th $110$1820%20%40%10th90th$120Professionalmedian $302 · 10th–90th $110$7760%5%10th90th$302$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
$109.65 / $120.23 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $151.36 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $316.23 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $114.82 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $707.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $154.88 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $331.13 / $489.78
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $131.83 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $275.42 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $117.49 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $281.84 / $812.83