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Ohio 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
$88.03 / $150.04 / $292.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.69 / $432.28 / $844.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.16 / $118.59 / $179.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $322.95 / $557.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.40 / $64.40 / $64.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.35 / $434.91 / $753.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.78 / $101.24 / $182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.77 / $329.47 / $564.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.14 / $252.03 / $377.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.22 / $96.55 / $96.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.64 / $525.05 / $987.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.36 / $114.15 / $191.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.63 / $406.15 / $765.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.22 / $87.22 / $96.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $510.26 / $951.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.28 / $115.39 / $191.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.03 / $378.05 / $733.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $270.54 / $436.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.24 / $455.82 / $783.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.04 / $98.09 / $179.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.83 / $350.78 / $601.03