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Kansas rates for HCPCS 72197

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.94 / $193.33 / $257.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $522.50 / $844.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.00 / $161.00 / $257.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $388.53 / $674.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.00 / $254.33 / $308.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.13 / $77.51 / $110.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.88 / $271.18 / $271.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.00 / $637.00 / $637.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.02 / $576.62 / $1,597.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.77 / $138.83 / $202.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.88 / $451.41 / $1,411.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$759.68 / $973.04 / $973.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.80 / $885.76 / $6,025.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.24 / $155.09 / $891.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.66 / $783.52 / $5,457.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.38 / $634.59 / $1,214.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.24 / $132.74 / $212.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.74 / $505.00 / $1,021.97