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Idaho rates for HCPCS 72195

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

Facilitymedian $178 · 10th–90th $89$2630%20%10th90th$178Professionalmedian $269 · 10th–90th $95$6760%5%10th90th$269$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
$89.13 / $177.83 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $141.25 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $338.84 / $588.84
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $426.58 / $588.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $131.83 / $181.97
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $295.12 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $371.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $245.47 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,698.24
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,148.15
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $234.42 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $489.78 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $134.90 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $323.59 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $141.25 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $346.74 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $218.78 / $954.99
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $154.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $165.96 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $331.13 / $691.83