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Vermont 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 $692 · 10th–90th $692$6920%50%100%$692Professionalmedian $234 · 10th–90th $112$6030%10%20%10th90th$234$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $229.09 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $295.12 / $537.03
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $457.09
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $316.23 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,000.00 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $158.49 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $575.44 / $1,230.27
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $141.25 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $346.74 / $1,174.90