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Iowa rates for HCPCS 72196

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

Facilitymedian $158 · 10th–90th $85$7590%20%40%10th90th$158Professionalmedian $275 · 10th–90th $89$7410%5%10th90th$275$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
$85.11 / $85.11 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $123.03 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $281.84 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $190.55 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $467.74 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $512.86 / $1,905.46
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $147.91 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $380.19 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$588.84 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $478.63 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $707.95 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $199.53 / $257.04
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $501.19 / $912.01
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $851.14 / $954.99
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $204.17 / $251.19
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $602.56 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $194.98 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $512.86 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $141.25 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $363.08 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $707.95
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $213.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $501.19