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Ohio rates for HCPCS 72195

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

Facilitymedian $93 · 10th–90th $72$1480%20%10th90th$93Professionalmedian $234 · 10th–90th $72$6030%5%10%10th90th$234$1.0$5.0$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
$72.44 / $93.33 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $426.58 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $125.89 / $251.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $213.80 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $281.84 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $181.97 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $66.07 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $81.28 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $338.84 / $575.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $181.97 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $95.50 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $331.13 / $660.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $407.38 / $776.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $95.50 / $162.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $295.12 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $181.97
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $416.87
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $85.11 / $144.54
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $100.00 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $223.87 / $512.86