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Virginia rates for HCPCS 72196

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

Facilitymedian $182 · 10th–90th $117$5250%10%20%10th90th$182Professionalmedian $269 · 10th–90th $89$5750%5%10th90th$269$50.0$200.0$1.0K$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
$117.49 / $181.97 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $120.23 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $302.00 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $371.54 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $102.33 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $398.11 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $112.20 / $169.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $288.40 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $537.03 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $100.00 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $407.38 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $229.09 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $933.25
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $151.36 / $177.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $549.54
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $457.09 / $1,584.89
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $112.20 / $181.97
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $398.11 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $100.00 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $338.84 / $794.33