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Maine rates for HCPCS 72198

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.15 / $140.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.99 / $335.00 / $452.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.35 / $483.75 / $711.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.84 / $113.85 / $174.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.77 / $369.09 / $536.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.16 / $648.39 / $966.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.34 / $134.84 / $189.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.51 / $504.72 / $765.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.57 / $510.91 / $921.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.29 / $125.50 / $226.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.27 / $385.41 / $695.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.62 / $546.25 / $886.10
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.61 / $140.00 / $186.74
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.50 / $368.50 / $542.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.93 / $568.51 / $911.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.80 / $127.76 / $209.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.98 / $458.27 / $750.03