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Nebraska rates for HCPCS 72196

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

Facilitymedian $257 · 10th–90th $257$7590%20%40%90th$257Professionalmedian $275 · 10th–90th $85$7590%5%10%10th90th$275$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
$181.97 / $257.04 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $125.89 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $281.84 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $501.19 / $549.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $151.36 / $162.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $354.81 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $173.78 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $446.68 / $891.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $676.08 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $162.18 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $512.86 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $933.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $181.97 / $275.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $426.58 / $645.65
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $169.82 / $275.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $645.65 / $891.25
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
$346.74 / $575.44 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $158.49 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $407.38 / $588.84