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Massachusetts 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 $151$4370%20%10th90th$186Professionalmedian $331 · 10th–90th $112$1,0000%5%10th90th$331$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
$107.15 / $154.88 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $537.03 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $204.17 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $354.81 / $1,318.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $691.83 / $691.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $151.36 / $912.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $537.03 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,122.02 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $213.80 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $676.08 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $162.18 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,174.90
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $323.59 / $616.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $537.03 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $363.08 / $645.65
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $223.87
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $691.83 / $691.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $151.36 / $912.01
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $537.03 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $660.69 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $158.49 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $407.38 / $1,023.29