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Rhode Island rates for HCPCS 72197

Mri Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$662.29 / $662.29 / $662.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.85 / $600.00 / $1,051.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.84 / $150.25 / $301.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.73 / $420.00 / $568.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.80 / $496.23 / $1,158.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.34 / $149.05 / $210.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.03 / $347.19 / $399.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.31 / $714.87 / $1,139.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.21 / $202.22 / $221.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.51 / $505.26 / $820.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.62 / $662.14 / $1,112.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.92 / $129.16 / $220.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.73 / $418.65 / $821.80