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Alaska rates for HCPCS 72197

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences

Facilitymedian $676 · 10th–90th $331$7940%20%10th90th$676Professionalmedian $372 · 10th–90th $132$1,1220%5%10th90th$372$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $676.08 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $165.96 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $354.81 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,174.90 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $208.93 / $363.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $831.76 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $630.96 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $933.25 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $302.00 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $630.96 / $1,412.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,445.44 / $2,454.71
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $416.87 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $1,071.52 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,202.26
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $338.84 / $354.81
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $794.33 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,348.96 / $3,467.37
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $309.03 / $691.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $954.99 / $2,454.71