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Alaska rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $346.74 / $676.08
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $35.48 / $61.66
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$60.26 / $457.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.96 / $33.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $23.99 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $27.54 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $54.95 / $72.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $77.62 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $35.48 / $61.66
Moda Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$54.95 / $346.74 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $75.86 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $25.12 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $52.48 / $74.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $204.17
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $33.88 / $56.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $87.10 / $141.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $38.90 / $77.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $63.10 / $79.43
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $16.22 / $30.90
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $32.36 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $75.86 / $169.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $25.70 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $52.48 / $102.33