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New Mexico 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 $148 · 10th–90th $145$1950%50%10th90th$148Professionalmedian $295 · 10th–90th $107$7080%5%10%10th90th$295$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
$144.54 / $147.91 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $144.54 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $309.03 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $223.87 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $794.33 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $147.91 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $645.65 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $724.44 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $151.36 / $218.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $616.60 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $630.96 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $102.33 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $501.19 / $1,023.29