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Alaska rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $453.01 / $653.66
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.64 / $35.79 / $61.60
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$57.29 / $344.65 / $470.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $29.78 / $104.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.95 / $10.89 / $35.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.35 / $20.38 / $68.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $466.44 / $466.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $79.29 / $98.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.76 / $27.81 / $30.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.77 / $51.47 / $69.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $37.63 / $616.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.42 / $81.51 / $174.63
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.23 / $24.50 / $71.63
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.03 / $57.24 / $134.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $120.90 / $202.50
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.25 / $36.25 / $55.88
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.75 / $85.55 / $130.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $37.63 / $466.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $100.80 / $180.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.00 / $37.50 / $56.75
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.00 / $85.00 / $131.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $85.73 / $172.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.67 / $25.54 / $61.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.53 / $51.98 / $110.71