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New Jersey rates for HCPCS 72195

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

Facilitymedian $182 · 10th–90th $93$5370%20%10th90th$182Professionalmedian $240 · 10th–90th $72$6760%5%10%10th90th$240$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$93.33 / $181.97 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $120.23 / $229.09
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $281.84 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $288.40 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $181.97 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $158.49
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $588.84
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $81.28 / $154.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $489.78 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $91.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $371.54 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $91.20 / $109.65
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $239.88 / $1,148.15
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $275.42 / $602.56
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $70.79 / $114.82
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $204.17 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $346.74 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $251.19 / $575.44