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Minnesota rates for HCPCS 72197

Mri Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.14 / $106.14 / $180.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $475.00 / $3,926.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.52 / $140.00 / $560.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.39 / $335.00 / $575.08
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.25 / $87.25 / $87.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.30 / $1,004.94 / $1,218.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.11 / $297.89 / $361.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$487.84 / $707.04 / $857.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$231.12 / $360.72 / $867.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.76 / $726.86 / $1,345.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.68 / $196.58 / $334.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$372.90 / $512.46 / $1,003.32
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.29 / $318.04 / $683.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.76 / $687.40 / $1,092.21
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.79 / $199.93 / $312.47
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$369.97 / $484.64 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$973.04 / $973.04 / $973.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.94 / $991.16 / $5,378.21
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.07 / $228.77 / $891.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$313.20 / $683.50 / $5,457.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.62 / $789.16 / $1,414.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.88 / $199.59 / $341.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.99 / $608.32 / $1,028.26