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Minnesota rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.37 / $86.37 / $86.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.84 / $429.99 / $825.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $119.21 / $197.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.55 / $335.00 / $611.52
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.83 / $70.83 / $70.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.79 / $1,008.81 / $1,223.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.33 / $241.81 / $293.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$529.22 / $767.01 / $930.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$188.26 / $293.83 / $706.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.35 / $670.95 / $1,197.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.34 / $159.84 / $272.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.40 / $511.11 / $961.09
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.15 / $259.06 / $556.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.30 / $657.08 / $1,066.50
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.86 / $154.53 / $254.08
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$402.45 / $500.54 / $812.43
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$789.92 / $789.92 / $789.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.41 / $759.87 / $3,014.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.95 / $164.45 / $597.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.52 / $591.08 / $2,544.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.93 / $726.81 / $1,196.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.95 / $162.25 / $277.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.76 / $591.08 / $917.63