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Michigan rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $144.54 / $302.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $12.59
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$21.88 / $27.54 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $11.48 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.39 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $23.44 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $8.32 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $21.38 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $47.86 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $41.69 / $44.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $13.18 / $17.78
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $31.62 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $23.44 / $36.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $22.39 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
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
$23.99 / $36.31 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $11.75 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $26.30 / $56.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $138.04 / $316.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $20.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$21.88 / $30.90 / $234.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $79.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $10.96 / $30.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $22.39 / $45.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$4.57 / $21.38 / $30.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $64.57
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $9.55 / $21.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $22.39 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $85.11 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $48.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $9.77 / $14.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $19.95 / $32.36