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Idaho rates for HCPCS 72197

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

Facilitymedian $269 · 10th–90th $135$3980%20%10th90th$269Professionalmedian $339 · 10th–90th $112$8710%5%10th90th$339$20.0$50.0$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
$134.90 / $151.36 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $575.44 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $165.96 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $371.54 / $758.58
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $630.96 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $269.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $426.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $123.03 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $323.59 / $870.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $3,235.94
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $346.74 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $199.53 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $457.09 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $707.95 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $208.93 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $501.19 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $229.09
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $239.88 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $457.09 / $1,000.00