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Idaho 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
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $138.04 / $338.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $363.08 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $870.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $158.49 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$426.58 / $467.74 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $100.00 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $371.54 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,905.46
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$524.81 / $630.96 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $162.18 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $501.19 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $169.82 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $537.03 / $691.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $79.43 / $186.21
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $234.42 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $91.20 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $371.54 / $812.83