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Kansas rates for HCPCS 72195

Mri Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.96 / $144.37 / $171.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.10 / $412.19 / $577.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.38 / $113.36 / $171.82
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$163.55 / $191.59 / $286.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.33 / $306.76 / $474.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.41 / $165.41 / $165.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.18 / $51.78 / $73.58
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.61 / $185.61 / $185.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.32 / $508.32 / $508.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.54 / $406.16 / $757.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.96 / $91.33 / $130.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.05 / $304.50 / $637.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$502.88 / $650.32 / $650.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.25 / $519.90 / $3,507.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.00 / $98.86 / $571.29
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.98 / $453.90 / $2,477.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.31 / $459.53 / $658.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.00 / $85.36 / $145.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.24 / $359.52 / $513.94