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Maryland rates for HCPCS 72197

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

Facilitymedian $126 · 10th–90th $123$1510%20%10th90th$126Professionalmedian $302 · 10th–90th $107$9330%5%10th90th$302$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
$123.03 / $125.89 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $177.83 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $912.01
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $446.68 / $630.96
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $144.54 / $162.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $354.81 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $588.84 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $120.23 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $426.58 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $114.82 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $288.40 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $114.82 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $389.05 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $389.05 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $109.65 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $275.42 / $398.11