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Minnesota rates for HCPCS 72195

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

Facilitymedian $224 · 10th–90th $71$5010%10%10th90th$224Professionalmedian $269 · 10th–90th $93$7080%5%10th90th$269$20.0$100.0$500.0$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
$70.79 / $70.79 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $125.89 / $251.19
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
$169.82 / $295.12 / $562.34
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $57.54 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $173.78 / $245.47
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $436.52 / $588.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $245.47 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $128.82 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $323.59 / $724.44
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $245.47 / $478.63
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $812.83
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $186.21
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $251.19 / $691.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $676.08 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $147.91 / $575.44
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$239.88 / $380.19 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $478.63 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $239.88 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $562.34
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $407.38 / $660.69