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Hawaii rates for HCPCS 72197

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

Facilitymedian $117 · 10th–90th $105$1380%20%40%10th90th$117Professionalmedian $363 · 10th–90th $117$1,1750%5%10th90th$363$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
$104.71 / $117.49 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $151.36 / $478.63
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $338.84 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $131.83 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $478.63 / $776.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,584.89 / $1,778.28
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $144.54 / $151.36
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $123.03 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $316.23 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $758.58 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $169.82 / $851.14
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $588.84 / $1,659.59
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $831.76 / $1,548.82
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $154.88 / $229.09
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $707.95 / $1,380.38