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Minnesota rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $263.03 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $14.45
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.95 / $19.95 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $36.31 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $11.22 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.91 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $263.03 / $758.58
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.17 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$15.14 / $17.38 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $67.61 / $100.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $19.95 / $29.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $48.98 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $104.71 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.76 / $26.30 / $72.44
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$15.14 / $64.57 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $53.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $15.49 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $38.02 / $61.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $100.00 / $194.98
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.44 / $28.84 / $56.23
Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$57.54 / $70.79 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $69.18
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $19.05
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $30.20 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $83.18 / $275.42
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$158.49 / $199.53 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $63.10 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $20.89 / $77.62
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $37.15 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $269.15 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $87.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $35.48 / $60.26