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Oregon rates for HCPCS 72197

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

Facilitymedian $224 · 10th–90th $105$3980%10%10th90th$224Professionalmedian $355 · 10th–90th $126$1,0230%5%10th90th$355$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
$104.71 / $223.87 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $204.17 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $354.81 / $831.76
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
$354.81 / $707.95 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $144.54 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $524.81 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $223.87 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $537.03 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $208.93 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $213.80 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $537.03 / $977.24
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $245.47 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $213.80 / $302.00
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $645.65 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,047.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $223.87 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $602.56 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $724.44 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $138.04 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $524.81 / $1,071.52