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Arkansas rates for HCPCS 72197

Mri Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.09 / $173.84 / $182.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.49 / $573.33 / $906.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.90 / $170.05 / $380.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.02 / $412.31 / $476.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.17 / $576.23 / $576.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.92 / $171.27 / $187.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.56 / $356.42 / $363.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.32 / $504.68 / $560.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.91 / $149.44 / $166.05
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.39 / $355.24 / $394.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.81 / $232.65 / $386.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.05 / $722.98 / $1,519.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.21 / $149.97 / $223.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.08 / $520.47 / $1,370.80
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.08 / $650.39 / $732.99
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$189.30 / $204.84 / $219.94
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$393.94 / $409.88 / $417.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.86 / $651.35 / $1,243.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.71 / $123.07 / $205.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.56 / $445.96 / $945.20