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Missouri rates for HCPCS 74183

Mri Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.53 / $151.65 / $236.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.40 / $509.78 / $2,987.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.34 / $169.81 / $547.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.42 / $358.13 / $1,607.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.17 / $244.94 / $319.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.13 / $108.81 / $155.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.33 / $199.33 / $199.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.46 / $552.59 / $1,280.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.82 / $129.00 / $234.05
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.64 / $402.73 / $1,045.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.86 / $118.86 / $118.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $616.16 / $1,383.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.99 / $148.91 / $256.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.28 / $452.53 / $1,230.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$759.68 / $973.04 / $973.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $813.02 / $6,025.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.18 / $155.96 / $891.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.62 / $655.63 / $5,457.89
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$189.30 / $189.30 / $189.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.14 / $579.40 / $1,440.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.26 / $133.93 / $223.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.18 / $399.66 / $982.59