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Nevada rates for HCPCS 72196

Mri Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.00 / $78.20 / $164.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.40 / $475.00 / $1,800.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.19 / $137.33 / $490.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.80 / $335.93 / $1,310.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.92 / $202.92 / $202.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $62.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.87 / $360.51 / $471.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.89 / $77.47 / $127.46
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.40 / $261.66 / $394.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.23 / $473.26 / $844.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.69 / $104.11 / $154.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.62 / $377.92 / $739.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $378.86 / $606.17
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.08 / $102.71 / $138.27
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.50 / $276.27 / $482.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $263.72 / $402.12
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.08 / $79.01 / $118.52
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.50 / $283.61 / $296.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.11 / $455.10 / $692.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.09 / $79.91 / $163.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.64 / $356.47 / $647.24