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Wyoming 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 $105 · 10th–90th $105$1050%50%100%$105Professionalmedian $380 · 10th–90th $105$1,2880%5%10%10th90th$380$20.0$50.0$100.0$200.0$500.0$1.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $141.25 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $323.59 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $426.58 / $812.83
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $851.14 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $229.09 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $562.34 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $2,187.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $199.53 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $537.03 / $1,819.70