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West Virginia 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 $120 · 10th–90th $110$1820%20%40%10th90th$120Professionalmedian $234 · 10th–90th $110$6760%10%10th90th$234$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
$109.65 / $120.23 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $302.00 / $588.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $295.12 / $676.08
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
$269.15 / $812.83 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $154.88 / $562.34
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $537.03 / $2,344.23
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $186.21 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $630.96 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $128.82 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $436.52 / $1,348.96