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Ohio rates for HCPCS 72197

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

Facilitymedian $141 · 10th–90th $107$2040%20%10th90th$141Professionalmedian $302 · 10th–90th $107$8130%10%10th90th$302$1.0$5.0$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
$107.15 / $141.25 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $346.74 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $123.03 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $489.78 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $125.89 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $363.08 / $602.56
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $407.38 / $630.96
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $128.82 / $199.53
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $275.42 / $426.58
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $263.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $141.25 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $478.63 / $1,122.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $120.23 / $169.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $537.03 / $1,230.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $147.91 / $288.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $398.11 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $269.15
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $575.44
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $128.82 / $218.78
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $144.54 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $117.49 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $331.13 / $891.25