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Oregon 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 $219 · 10th–90th $105$2750%10%20%10th90th$219Professionalmedian $339 · 10th–90th $123$8710%5%10%10th90th$339$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
$104.71 / $218.78 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $223.87 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $338.84 / $724.44
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
$338.84 / $660.69 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $154.88 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $457.09 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $234.42 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $489.78 / $602.56
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $218.78 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $223.87 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $489.78 / $1,122.02
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $645.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $741.31 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $223.87 / $316.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $549.54 / $1,148.15
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $776.25 / $1,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $691.83 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $144.54 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $467.74 / $1,000.00