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West Virginia rates for HCPCS 72197

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

Facilitymedian $117 · 10th–90th $105–$1780%20%40%10th90th$117Professionalmedian $251 · 10th–90th $105–$8130%10%10th90th$251$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 / $117.49 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $158.49 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $302.00 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $331.13 / $707.95
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
$281.84 / $977.24 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $147.91 / $537.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $588.84 / $2,398.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $181.97 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $645.65 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $123.03 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $478.63 / $1,318.26