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Missouri rates for HCPCS 72197

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

Facilitymedian $191 · 10th–90th $135$5250%10%20%10th90th$191Professionalmedian $295 · 10th–90th $105$8710%5%10th90th$295$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
$144.54 / $190.55 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $512.86 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $169.82 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $346.74 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $112.20 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $128.82 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $363.08 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $645.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $114.82 / $158.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $251.19 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $120.23 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $616.60 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $144.54 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $436.52 / $1,122.02
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
$380.19 / $831.76 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $151.36 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $575.44 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $549.54 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $389.05 / $1,023.29