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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
$219.02 / $219.02 / $219.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.99 / $494.18 / $1,065.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.20 / $140.00 / $268.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $363.17 / $797.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.73 / $327.17 / $733.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.62 / $78.93 / $159.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.11 / $248.24 / $579.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.21 / $1,731.21 / $1,921.80
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$520.19 / $520.19 / $629.16
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,102.04 / $1,102.04 / $1,401.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.73 / $633.02 / $823.81
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.04 / $155.50 / $181.68
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$414.69 / $477.53 / $557.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.53 / $535.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.29 / $714.46 / $823.81
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.56 / $171.25 / $207.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$461.72 / $543.20 / $616.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.14 / $444.11 / $890.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.36 / $95.76 / $172.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.83 / $369.75 / $741.24