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Alaska rates for HCPCS 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Facilitymedian $263 · 10th–90th $263$2630%50%100%$263Professionalmedian $295 · 10th–90th $102$9120%5%10%10th90th$295$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $288.40 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $870.96 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $162.18 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $630.96 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $239.88 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $537.03 / $1,148.15
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,174.90 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $323.59 / $549.54
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $891.25 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $707.95 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $263.03 / $309.03
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $630.96 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $891.25 / $2,884.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $245.47 / $588.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $630.96 / $2,344.23