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Ohio 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 $112$2140%20%10th90th$148Professionalmedian $302 · 10th–90th $112$7760%10%10th90th$302$1.0$5.0$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
$112.20 / $147.91 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $181.97 / $380.19
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
$218.78 / $257.04 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $128.82 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $154.88 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $354.81 / $602.56
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $389.05 / $602.56
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $208.93
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $251.19 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $245.47 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $151.36 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $389.05 / $1,096.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $123.03 / $177.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $1,318.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $151.36 / $295.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $354.81 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $223.87
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $588.84
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $134.90 / $229.09
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $131.83 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $281.84 / $870.96