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Tennessee rates for HCPCS 72196

Mri Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.25 / $422.55 / $446.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.57 / $450.19 / $570.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $130.43 / $155.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.34 / $319.76 / $393.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $75.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.82 / $610.11 / $898.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.29 / $128.19 / $201.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.89 / $475.64 / $714.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.02 / $85.02 / $93.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.72 / $559.16 / $901.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.48 / $120.81 / $193.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.72 / $417.04 / $762.95
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$746.48 / $746.48 / $764.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,389.77 / $3,491.47 / $3,491.47
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$657.14 / $657.14 / $657.14
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,953.83 / $3,042.45 / $3,042.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $515.10 / $745.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.57 / $101.78 / $177.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.98 / $364.70 / $578.35