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Nevada 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.00 / $104.47 / $217.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.76 / $482.69 / $2,125.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.31 / $200.20 / $577.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.19 / $335.00 / $1,438.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.17 / $250.88 / $476.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.38 / $158.79 / $191.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.93 / $203.93 / $203.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.77 / $416.94 / $604.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.23 / $103.76 / $168.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.53 / $283.20 / $488.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.10 / $559.07 / $1,288.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.87 / $143.87 / $203.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.65 / $418.26 / $1,115.28
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $447.90 / $706.62
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.35 / $136.31 / $183.49
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.95 / $297.93 / $541.52
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $313.60 / $476.49
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.35 / $104.85 / $157.28
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.95 / $301.58 / $319.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.75 / $547.02 / $1,192.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.82 / $103.97 / $215.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.18 / $337.05 / $979.15