go back

Massachusetts rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $125.89 / $354.81
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.03 / $12.30 / $33.88
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$24.55 / $69.18 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.02 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $25.70 / $74.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $81.28 / $363.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.50 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$50.12 / $125.89 / $125.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.02 / $177.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $77.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $28.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $229.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $16.22 / $21.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $40.74 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $208.93 / $389.05
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $42.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $13.18 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $32.36 / $63.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $56.23 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $30.90 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.75 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $38.90 / $61.66
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $83.18 / $275.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.60 / $69.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $81.28 / $363.08
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.50 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$50.12 / $125.89 / $125.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.02 / $177.83
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $77.62
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $28.18 / $162.18
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $33.88 / $338.84
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $29.51 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $147.91 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.90 / $79.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.75 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $27.54 / $54.95