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Nevada rates for HCPCS 72195

Mri Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.28 / $73.00 / $139.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.20 / $475.00 / $1,679.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.05 / $140.00 / $414.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$140.41 / $202.17 / $771.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.79 / $335.00 / $1,098.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.31 / $179.22 / $219.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.33 / $100.75 / $144.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.50 / $308.33 / $393.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.12 / $65.72 / $107.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.78 / $224.24 / $325.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $406.49 / $762.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.45 / $84.76 / $131.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.73 / $327.88 / $627.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $327.56 / $517.40
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.90 / $86.36 / $116.25
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.05 / $219.66 / $425.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $224.03 / $341.21
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.90 / $66.43 / $99.65
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.05 / $205.94 / $241.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.76 / $388.47 / $653.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.76 / $70.72 / $138.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.94 / $302.55 / $567.41