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New Jersey rates for HCPCS 72196

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

Facilitymedian $417 · 10th–90th $148$7590%10%20%10th90th$417Professionalmedian $269 · 10th–90th $85$6170%5%10th90th$269$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $416.87 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $120.23 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $302.00 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $549.54 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $107.15 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $407.38 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $457.09
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $275.42 / $323.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $691.83
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $83.18 / $134.90
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $234.42 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $407.38 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $95.50 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $288.40 / $602.56