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Maryland rates for HCPCS 72195

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

Facilitymedian $126 · 10th–90th $81$1510%20%10th90th$126Professionalmedian $240 · 10th–90th $78$6310%5%10th90th$240$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
$81.28 / $125.89 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $125.89 / $257.04
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $194.98 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $302.00 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $309.03 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $85.11 / $102.33
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $416.87 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $323.59 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $75.86 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $79.43 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $257.04 / $602.56
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $263.03 / $380.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $72.44 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $190.55 / $275.42