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Connecticut rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$166.95 / $294.29 / $384.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $600.00 / $2,493.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.15 / $166.95 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $433.05 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.03 / $1,053.60 / $1,347.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.17 / $199.00 / $245.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.44 / $825.09 / $1,121.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.94 / $743.45 / $1,246.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.71 / $117.64 / $222.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.59 / $611.30 / $1,025.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.30 / $657.56 / $821.93
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.55 / $96.31 / $175.85
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.57 / $367.98 / $617.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.45 / $118.45 / $125.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.61 / $607.60 / $1,305.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.91 / $129.76 / $301.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.33 / $435.48 / $1,004.66