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New York 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 $135 · 10th–90th $112$2880%20%10th90th$135Professionalmedian $309 · 10th–90th $112$8710%5%10th90th$309$20.0$100.0$500.0$2.0K$10.0K

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
$112.20 / $134.90 / $288.40
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 / $177.83 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $234.42 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $61.66 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $407.38 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $123.03 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $281.84 / $812.83
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $346.74 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $123.03 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $724.44 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $162.18 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $524.81 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $309.03 / $467.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $741.31
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $173.78 / $251.19
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $371.54 / $501.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $602.56
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $234.42
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $724.44 / $1,047.13
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $208.93 / $288.40
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $2,238.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $144.54 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $331.13 / $1,584.89
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $371.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $933.25
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $158.49 / $275.42
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $363.08 / $630.96