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Mississippi rates for HCPCS 72196

Mri Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.04 / $177.65 / $208.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.85 / $475.00 / $666.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.43 / $140.04 / $208.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.81 / $335.00 / $458.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.90 / $75.03 / $146.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $855.00 / $855.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.39 / $580.29 / $970.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.40 / $134.71 / $170.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.97 / $447.45 / $803.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $209.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.88 / $400.49 / $1,027.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.79 / $98.59 / $177.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.36 / $331.70 / $923.44