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Delaware rates for HCPCS 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.63 / $106.39 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.67 / $425.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.78 / $126.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.89 / $299.00 / $335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.85 / $523.67 / $775.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.48 / $89.66 / $149.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.46 / $375.08 / $673.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.34 / $491.50 / $751.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.39 / $97.68 / $197.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.64 / $310.08 / $641.66