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Montana rates for HCPCS 72195

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

Facilitymedian $107 · 10th–90th $107$1350%20%40%90th$107Professionalmedian $282 · 10th–90th $72$6460%5%10th90th$282$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $524.81 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $125.89 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $338.84 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $107.15 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $398.11 / $660.69
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $436.52 / $758.58
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $134.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $645.65
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $107.15 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $316.23 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $64.57 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $309.03 / $537.03