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See a sample rate comparisonCPT 72198 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72198 |
| Medicaid Fee Schedule | $276.14 median of the 8 states in the free preview · View Medicaid rates for 72198 |
National average reimbursement for CPT 72198 by major payers:

$451.83
BCBS / Anthem

$504.59
UnitedHealthcare

$562.57
Aetna

$592.59
Cigna
Choose a payer to see a sample of rates for CPT 72198.
Health Imaging Partners, LLC
Mark Winter
Radiology Associates Of North Texas, PA
Kevin Schlessel
Columbus Arthritis Center
Robert Sanchez
Radiology Associates Of North Texas, PA
Kevin Schlessel
Columbus Arthritis Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 72198 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72198. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 72191-CPT | Moderate | Ct Of Blood Vessels In Pelvis, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 72195-CPT | Moderate | Mri Of The Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
| 72196-CPT | Moderate | Mri Of The Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
| 72198-CPT | Moderate | Mra Of Blood Vessels In Pelvis, An Mr (Magnetic Resonance) Angiogram Is A Detailed Image Of Blood Flow And Blood Vessels In The Pelvis. A Contrast Agent May Be Injected To Make The Area Easier To See. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72198. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72198 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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