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North Dakota rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $251.19 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $7.94 / $14.79
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.05 / $19.95 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.11 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $8.32 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $24.55 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $64.57 / $72.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $19.50 / $21.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $45.71 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $69.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.30 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $30.20 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $47.86 / $199.53
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$102.33 / $158.49 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $54.95 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $17.78 / $77.62
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $38.90 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $69.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.13 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $34.67 / $46.77