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Vermont rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $425.00 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.50 / $127.50 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.50 / $297.50 / $368.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.75 / $775.34 / $1,502.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.35 / $783.72 / $1,502.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.83 / $125.73 / $355.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.62 / $429.13 / $1,219.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.35 / $778.43 / $1,502.37
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.18 / $125.73 / $355.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.62 / $429.13 / $690.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.93 / $777.93 / $1,598.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.38 / $125.68 / $336.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.98 / $593.66 / $1,219.58