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Iowa rates for HCPCS 72195

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

Facilitymedian $141 · 10th–90th $65$4370%20%10th90th$141Professionalmedian $263 · 10th–90th $85$8510%5%10th90th$263$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
$64.57 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $512.86 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $144.54 / $426.58
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $1,513.56 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $281.84 / $741.31
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $162.18 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $436.52 / $724.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $407.38 / $1,698.24
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $125.89 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $309.03 / $1,318.26
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
$295.12 / $575.44 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $117.49 / $575.44
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $426.58 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $602.56 / $933.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $169.82 / $234.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $436.52 / $776.25
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $724.44 / $851.14
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $151.36 / $208.93
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $524.81 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $165.96 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $117.49 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $309.03 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $602.56
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $426.58