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Washington 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
$95.20 / $188.09 / $308.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $522.50 / $1,065.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.37 / $140.00 / $268.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.99 / $368.50 / $797.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$789.92 / $789.92 / $789.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.26 / $877.31 / $3,014.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.96 / $207.53 / $693.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$373.30 / $674.80 / $2,544.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.76 / $733.90 / $1,213.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.82 / $152.96 / $265.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.44 / $575.47 / $938.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.92 / $178.16 / $232.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.79 / $873.01 / $1,419.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.15 / $187.22 / $232.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$358.36 / $681.88 / $1,164.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.30 / $319.84 / $770.81
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.50 / $166.53 / $170.85
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.11 / $153.12 / $181.05
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$400.37 / $558.78 / $793.44
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.70 / $113.70 / $114.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.88 / $821.26 / $992.94
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.97 / $196.60 / $234.94
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$414.46 / $624.41 / $758.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.26 / $721.76 / $1,043.85
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.96 / $173.00 / $232.68
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$373.30 / $548.76 / $811.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.14 / $511.35 / $1,072.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.31 / $95.50 / $248.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.83 / $391.27 / $815.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.50 / $394.50 / $394.50
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.35 / $88.35 / $88.35
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.14 / $306.14 / $306.14