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New Mexico rates for HCPCS 72196

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

Facilitymedian $115 · 10th–90th $112$1150%50%10th$115Professionalmedian $263 · 10th–90th $83$6030%5%10th90th$263$50.0$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
$112.20 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $104.71 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $269.15 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $190.55 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $630.96 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $107.15 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $524.81 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $501.19 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $524.81 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $75.86 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $416.87 / $724.44