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Vermont rates for HCPCS 72195

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

Facilitymedian $427 · 10th–90th $427$4270%50%100%$427Professionalmedian $257 · 10th–90th $78$5620%5%10%10th90th$257$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
$309.03 / $426.58 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $141.25 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $295.12 / $436.52
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $104.71 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $234.42 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $645.65 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $102.33 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $436.52 / $1,071.52
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $363.08 / $831.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $95.50 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $724.44