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Texas 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
$69.08 / $90.52 / $123.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $463.36 / $745.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.08 / $112.50 / $197.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.12 / $335.00 / $493.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.40 / $64.40 / $148.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $269.00 / $413.85
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.69 / $79.69 / $85.30
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
$285.81 / $489.92 / $923.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.39 / $97.75 / $175.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.72 / $387.60 / $719.14
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $776.00 / $789.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,014.38 / $3,039.70 / $3,039.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$597.70 / $597.70 / $683.48
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,544.17 / $2,573.94 / $2,613.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.81 / $549.73 / $806.34
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.39 / $135.04 / $327.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$326.73 / $414.69 / $1,005.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.44 / $311.14 / $623.09
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.55 / $96.55 / $96.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.89 / $532.15 / $990.65
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.89 / $91.77 / $172.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.72 / $372.56 / $719.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.14 / $460.02 / $806.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.76 / $90.95 / $157.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.78 / $351.38 / $601.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.35 / $318.00 / $452.45
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.84 / $80.50 / $111.00
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.50 / $250.71 / $1,400.00