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Wyoming 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
$81.33 / $81.33 / $82.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.69 / $475.00 / $550.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.20 / $139.66 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.49 / $335.00 / $411.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.00 / $1,483.00 / $2,740.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.00 / $355.00 / $656.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$687.00 / $1,128.00 / $2,084.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.42 / $672.87 / $1,130.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.06 / $131.90 / $234.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$405.52 / $552.19 / $873.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.32 / $756.42 / $1,761.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.25 / $159.72 / $277.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$395.07 / $543.36 / $1,483.91