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Minnesota rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $251.38 / $419.90
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.53 / $8.53 / $14.51
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$20.74 / $20.74 / $31.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.86 / $29.28 / $114.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.50 / $8.81 / $46.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.75 / $20.38 / $78.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $230.55 / $444.65
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.90 / $6.90 / $6.90
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$16.98 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $81.25 / $98.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.56 / $24.18 / $29.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.15 / $57.06 / $69.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.25 / $96.98 / $238.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.55 / $28.04 / $68.95
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.69 / $68.94 / $169.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $53.50 / $89.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.50 / $15.47 / $26.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.21 / $38.03 / $63.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.98 / $87.41 / $187.79
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.74 / $25.27 / $54.30
Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$36.24 / $62.13 / $133.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.12 / $49.86 / $85.03
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.18 / $14.42 / $24.59
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.94 / $35.44 / $60.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $61.24 / $253.51
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
$158.68 / $208.79 / $287.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $57.74 / $178.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.69 / $18.76 / $77.59
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $39.32 / $163.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $51.25 / $88.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.02 / $15.60 / $27.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $36.32 / $60.52