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Florida rates for HCPCS 72195

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.50 / $71.88 / $234.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.12 / $379.11 / $603.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $105.88 / $180.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$119.41 / $155.94 / $256.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.08 / $264.32 / $426.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.31 / $158.47 / $215.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.74 / $71.20 / $142.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.97 / $112.97 / $112.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.45 / $79.45 / $212.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.88 / $376.23 / $757.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.20 / $85.31 / $142.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.69 / $283.24 / $612.44
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.59 / $77.59 / $77.59
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.74 / $418.80 / $560.03
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.84 / $75.65 / $103.89
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.91 / $343.19 / $472.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $162.95 / $283.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.14 / $335.16 / $672.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.66 / $63.81 / $139.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.01 / $250.20 / $568.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.78 / $177.78 / $177.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.80 / $51.80 / $51.80
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.98 / $125.98 / $125.98