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Rhode Island rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$538.14 / $538.14 / $538.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.87 / $571.12 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.19 / $140.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.68 / $420.00 / $452.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.58 / $499.51 / $939.79
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.85 / $121.22 / $167.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.80 / $378.29 / $397.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.40 / $718.14 / $837.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.09 / $170.11 / $180.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.67 / $548.02 / $652.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.93 / $498.18 / $706.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.69 / $112.31 / $178.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.83 / $384.26 / $601.33