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West Virginia rates for HCPCS 72195

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

Facilitymedian $78 · 10th–90th $71$1150%50%10th90th$78Professionalmedian $214 · 10th–90th $71$4790%5%10%10th90th$214$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $77.62 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $120.23 / $213.80
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $213.80 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $295.12 / $467.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $512.86 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $100.00 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $436.52 / $1,584.89
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $181.97 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $436.52 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $79.43 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $323.59 / $794.33