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Maryland rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.80 / $175.02 / $401.92
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.23 / $9.81 / $14.38
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$21.20 / $108.35 / $350.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $30.35 / $119.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.50 / $9.64 / $30.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.35 / $19.42 / $55.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $28.95 / $33.08
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.07 / $10.08 / $12.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.87 / $18.87 / $22.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $35.15 / $35.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $34.02 / $66.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.55 / $10.02 / $19.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.94 / $24.66 / $49.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $34.15 / $48.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.44 / $10.16 / $14.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.54 / $24.56 / $34.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $31.76 / $57.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.47 / $8.64 / $15.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.53 / $20.51 / $43.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $31.63 / $41.34
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.78 / $9.00 / $12.27
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.52 / $22.74 / $29.07