go back

Rhode Island rates for HCPCS 72196

Mri Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$525.44 / $525.44 / $525.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.05 / $585.09 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.80 / $124.36 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.25 / $420.00 / $469.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.62 / $396.02 / $950.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.59 / $116.57 / $162.63
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.62 / $279.45 / $318.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.98 / $569.61 / $803.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.98 / $164.64 / $175.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.91 / $404.97 / $630.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.11 / $493.55 / $696.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.51 / $100.46 / $173.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.93 / $333.16 / $596.32