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Arizona rates for HCPCS 72195

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

Facilitymedian $245 · 10th–90th $135$3390%10%20%10th90th$245Professionalmedian $251 · 10th–90th $83$7940%5%10th90th$251$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
$134.90 / $245.47 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $138.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $512.86 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $288.40 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $85.11 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $245.47 / $389.05
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $407.38 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $79.43 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $309.03 / $616.60
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$501.19 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $478.63 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $77.62 / $575.44
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $416.87 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $75.86 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $275.42 / $489.78