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Hawaii rates for HCPCS 72196

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

Facilitymedian $93 · 10th–90th $81$1100%20%40%10th90th$93Professionalmedian $302 · 10th–90th $102$8510%5%10th90th$302$100.0$200.0$500.0$1.0K

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
$81.28 / $93.33 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $112.20 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $288.40 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $380.19 / $562.34
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $977.24
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $109.65 / $114.82
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $676.08 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $97.72 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $257.04 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $109.65 / $676.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $478.63 / $1,071.52
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $660.69 / $1,000.00
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $120.23 / $181.97
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $562.34 / $851.14