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Delaware rates for HCPCS 72197

Mri Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.87 / $126.00 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.45 / $475.00 / $573.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.87 / $140.00 / $161.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.57 / $335.00 / $412.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.79 / $672.85 / $1,272.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.38 / $116.25 / $200.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.98 / $573.80 / $1,132.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.73 / $341.73 / $402.09
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.30 / $131.10 / $1,069.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.59 / $515.61 / $1,298.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.19 / $120.96 / $244.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.14 / $541.01 / $1,171.30