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California rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $363.08 / $812.83
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $10.72 / $22.91
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.91 / $100.00 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $37.15 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $12.30 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $23.99 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $29.51 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $10.96 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $25.12 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.96 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.90 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $12.30 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $26.92 / $54.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $102.33 / $281.84
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $77.62
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $12.59 / $22.91
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $31.62 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $245.47 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$4.57 / $21.38 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $37.15 / $72.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $10.96 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $25.70 / $53.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $37.15 / $50.12
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.62 / $9.55 / $13.18
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $27.54 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.22 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $29.51 / $51.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $363.08 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $234.42 / $234.42
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $169.82 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $31.62 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $39.81 / $77.62
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$4.57 / $21.38 / $30.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $38.02 / $74.13
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $10.47 / $20.42
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $24.55 / $52.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $28.84 / $28.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $66.07 / $66.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $165.96 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.84 / $60.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $9.12 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $19.95 / $43.65