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Florida 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
$62.50 / $72.27 / $293.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.00 / $603.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $104.00 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $299.00 / $462.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.34 / $223.34 / $223.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.40 / $123.18 / $142.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.55 / $96.55 / $258.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.55 / $497.12 / $937.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.19 / $97.48 / $179.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.30 / $388.00 / $765.20
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.72 / $94.72 / $94.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.88 / $458.66 / $604.60
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.30 / $98.27 / $126.82
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.57 / $354.47 / $492.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $262.83 / $461.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.08 / $408.90 / $778.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.95 / $75.38 / $160.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.32 / $325.58 / $617.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.94 / $238.94 / $238.94
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.27 / $57.27 / $57.27
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.67 / $181.67 / $181.67