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Georgia rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $229.09 / $501.19
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.24 / $15.14 / $38.02
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$16.98 / $79.43 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $38.02 / $93.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.33 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $21.88 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $8.91 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $21.38 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $42.66 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.48 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $25.12 / $43.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $26.92 / $42.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $20.89 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $43.65 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $39.81 / $70.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.59 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $27.54 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.48 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $26.30 / $77.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $22.39 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $61.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $22.39 / $42.66