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Louisiana rates for HCPCS 72197

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

Facilitymedian $120 · 10th–90th $110$1910%20%40%10th90th$120Professionalmedian $316 · 10th–90th $105$7940%5%10th90th$316$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
$109.65 / $120.23 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $524.81 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $141.25 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $338.84 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $223.87 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $109.65 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $199.53 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $524.81 / $776.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $144.54 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $363.08 / $602.56
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $100.00 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $446.68 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $125.89 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $316.23 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $112.20 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $316.23 / $794.33