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New York 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 $112$2630%20%40%10th90th$126Professionalmedian $316 · 10th–90th $107$9770%5%10th90th$316$20.0$100.0$500.0$2.0K$10.0K

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
$112.20 / $128.82 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $165.96 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $338.84 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $58.88 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $309.03 / $933.25
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $389.05 / $537.03
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
$346.74 / $851.14 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $154.88 / $389.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $602.56 / $2,398.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $144.54 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $338.84 / $512.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $165.96 / $239.88
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $398.11 / $549.54
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $158.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $467.74 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $131.83 / $218.78
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $1,047.13
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $208.93 / $275.42
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $512.86 / $2,344.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $138.04 / $676.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $1,949.84
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $354.81
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $1,000.00
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $151.36 / $275.42
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $389.05 / $691.83