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Maryland 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 $129 · 10th–90th $126$1740%50%10th90th$129Professionalmedian $309 · 10th–90th $110$8510%5%10th90th$309$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
$125.89 / $128.82 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $199.53 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $426.58 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $134.90 / $169.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $323.59 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $549.54 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $389.05 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $380.19 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $120.23 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $263.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $354.81 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $524.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $114.82 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $251.19 / $363.08