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Pennsylvania 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
$117.58 / $157.02 / $403.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.69 / $425.00 / $1,754.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.20 / $126.00 / $254.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $299.00 / $478.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.40 / $64.40 / $64.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.88 / $553.89 / $869.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.92 / $137.57 / $209.24
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.96 / $416.31 / $710.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.55 / $96.55 / $96.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.73 / $563.41 / $949.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.14 / $103.96 / $167.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.98 / $457.74 / $771.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.30 / $535.04 / $1,375.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.02 / $111.46 / $175.85
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.57 / $367.98 / $524.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.23 / $677.92 / $705.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.78 / $103.13 / $139.50
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.58 / $165.06 / $412.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.69 / $475.00 / $1,477.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.20 / $126.00 / $322.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.49 / $330.83 / $876.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $349.47 / $760.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.00 / $96.55 / $96.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.08 / $563.09 / $922.71
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.88 / $103.09 / $171.82
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.98 / $424.92 / $765.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.99 / $83.99 / $100.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.75 / $338.15 / $541.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.79 / $84.07 / $100.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.68 / $254.16 / $440.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.14 / $452.09 / $733.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.31 / $100.05 / $169.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.98 / $357.49 / $618.54