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Nebraska rates for HCPCS 72197

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

Facilitymedian $331 · 10th–90th $129$9770%20%10th90th$331Professionalmedian $282 · 10th–90th $105$9770%5%10%10th90th$282$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
$128.82 / $331.13 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $208.93 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $316.23 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $630.96 / $676.08
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $194.98 / $208.93
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $436.52 / $741.31
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $223.87 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $851.14 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $199.53 / $316.23
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $645.65 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $354.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $537.03 / $812.83
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $218.78 / $354.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,659.59
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
$436.52 / $724.44 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $199.53 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,096.48