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Massachusetts rates for HCPCS 72195

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

Facilitymedian $115 · 10th–90th $69$2750%20%10th90th$115Professionalmedian $251 · 10th–90th $81$7590%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
$67.61 / $97.72 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $141.25 / $281.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $549.54 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $331.13 / $691.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $281.84 / $436.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $478.63 / $3,630.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $97.72 / $588.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $389.05 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $812.83 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $134.90 / $177.83
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.90 / $234.42 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $549.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $102.33 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $407.38 / $741.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $234.42 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $263.03 / $457.09
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $562.34
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $281.84 / $436.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $478.63 / $3,630.78
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $97.72 / $588.84
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $389.05 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $467.74 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $100.00 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $331.13 / $676.08