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New York rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $81.28 / $758.58
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.61 / $9.33 / $22.91
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.50 / $69.18 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.90 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.96 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.91 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.70 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.68 / $10.47 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.30 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $7.76 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $18.20 / $44.67
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $26.92
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $26.92 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $64.57 / $190.55
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 / $39.81 / $114.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $12.30 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $28.84 / $91.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $26.30 / $70.79
Emblem Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$17.38 / $17.38 / $17.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $12.30 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $28.18 / $40.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Excellus BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$7.59 / $7.59 / $7.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $36.31 / $66.07
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $10.96 / $19.95
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $25.12 / $45.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $147.91 / $389.05
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$25.12 / $64.57 / $331.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.88 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.00 / $17.78
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $36.31 / $36.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $38.90 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $72.44
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $12.30 / $22.39
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $26.30 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $239.88 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $57.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $8.71 / $17.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $19.95 / $40.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $20.89 / $69.18
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $9.77 / $43.65
Univera
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$7.59 / $14.45 / $60.26
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $36.31 / $70.79
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $10.96 / $24.55
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $25.12 / $52.48