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New Jersey rates for HCPCS 72197

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

Facilitymedian $182 · 10th–90th $135$7590%10%20%10th90th$182Professionalmedian $295 · 10th–90th $105$9330%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
$134.90 / $181.97 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $151.36 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $331.13 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $190.55
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $891.25 / $891.25
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $123.03 / $309.03
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $354.81 / $933.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $676.08 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $134.90 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $512.86 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $562.34
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $138.04 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $338.84 / $398.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $851.14
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $173.78
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $295.12 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $512.86 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $120.23 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $363.08 / $954.99