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Iowa rates for HCPCS 72197

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

Facilitymedian $214 · 10th–90th $98$6760%20%10th90th$214Professionalmedian $339 · 10th–90th $107$1,2020%5%10th90th$339$20.0$100.0$500.0$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
$97.72 / $169.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $208.93 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $338.84 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $239.88 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $630.96 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $190.55 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $446.68 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$758.58 / $977.24 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $977.24 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $177.83 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $660.69 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,071.52 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $257.04 / $354.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $758.58 / $1,202.26
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,071.52 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $234.42 / $316.23
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $758.58 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $239.88 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $2,290.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $426.58
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $446.68 / $1,445.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $891.25
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $275.42
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $524.81 / $630.96