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California rates for HCPCS 72198

Magnetic resonance angiography, pelvis, with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $513.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $2,277.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.19 / $140.00 / $481.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.99 / $335.00 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.02 / $700.00 / $1,252.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.86 / $115.72 / $240.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.64 / $585.66 / $1,008.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.31 / $511.49 / $1,245.94
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.28 / $107.53 / $260.83
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.12 / $404.85 / $975.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.55 / $96.55 / $96.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.98 / $575.13 / $1,161.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.23 / $101.48 / $237.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.71 / $470.15 / $933.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.39 / $449.08 / $606.26
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.59 / $93.70 / $126.50
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.80 / $355.38 / $479.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.33 / $444.67 / $812.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.12 / $112.44 / $215.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.02 / $408.69 / $666.47
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$776.00 / $776.00 / $789.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,014.38 / $3,039.70 / $3,039.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$597.70 / $597.70 / $683.48
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,544.17 / $2,573.94 / $2,613.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $269.12
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.55 / $96.55 / $96.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.44 / $662.46 / $1,088.11
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.92 / $97.87 / $235.23
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.96 / $475.10 / $900.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.83 / $1,289.83 / $1,289.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$288.91 / $288.91 / $288.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,000.92 / $1,000.92 / $1,000.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.20 / $463.94 / $563.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.14 / $446.20 / $1,021.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.69 / $92.92 / $224.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.83 / $379.91 / $1,018.58