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North Carolina rates for HCPCS 72196

Mri Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.33 / $90.84 / $138.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.87 / $402.08 / $892.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.33 / $102.59 / $175.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.54 / $299.00 / $597.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.00 / $61.00 / $61.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.48 / $214.48 / $214.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.91 / $189.54 / $249.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$497.00 / $754.94 / $1,036.92
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
$362.70 / $727.61 / $1,331.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.41 / $135.22 / $237.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.32 / $562.44 / $1,150.55
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.80 / $142.00 / $253.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $402.00 / $550.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.80 / $124.80 / $302.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.21 / $252.39 / $450.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.02 / $580.65 / $976.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.08 / $112.96 / $237.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.88 / $430.62 / $830.07
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$593.12 / $746.48 / $746.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,491.47 / $3,491.47 / $3,491.47
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$657.14 / $657.14 / $657.14
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,042.45 / $3,042.45 / $3,042.45