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Vermont rates for HCPCS 72197

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

Facilitymedian $661 · 10th–90th $661$6610%50%100%$661Professionalmedian $263 · 10th–90th $112$6920%10%10th90th$263$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $218.78 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $338.84 / $602.56
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $436.52
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,071.52 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $154.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $645.65 / $1,513.56
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $134.90 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $380.19 / $1,202.26