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West Virginia 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
$105.81 / $116.39 / $176.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.16 / $447.83 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.81 / $140.00 / $221.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.35 / $315.43 / $368.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.54 / $339.70 / $690.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.86 / $118.86 / $118.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.98 / $976.24 / $4,388.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.34 / $157.61 / $514.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.01 / $582.30 / $2,340.59
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.63 / $224.92 / $278.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.02 / $808.49 / $1,807.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.25 / $137.38 / $254.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.88 / $574.12 / $1,623.22