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Connecticut rates for HCPCS 72195

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

Facilitymedian $282 · 10th–90th $186$3310%20%10th90th$282Professionalmedian $251 · 10th–90th $78$9120%5%10th90th$251$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$186.21 / $281.84 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $138.04 / $245.47
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $281.84 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $302.00 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $602.56 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $131.83 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $416.87 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $616.60 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $102.33 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $512.86 / $724.44
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $645.65 / $1,096.48
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $109.65
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $275.42 / $602.56
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $114.82 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $371.54 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $89.13 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $251.19 / $891.25