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Kentucky 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
$80.20 / $105.48 / $155.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.52 / $297.05 / $566.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.20 / $85.19 / $147.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.32 / $202.41 / $368.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.52 / $61.52 / $61.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.49 / $431.84 / $670.97
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.08 / $93.21 / $134.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.87 / $335.83 / $516.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.11 / $125.25 / $334.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.41 / $93.41 / $93.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.08 / $617.52 / $1,088.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.70 / $121.67 / $196.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.27 / $515.97 / $918.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $314.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.68 / $538.12 / $648.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.67 / $93.20 / $127.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.02 / $325.19 / $570.80