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Texas rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $281.84 / $602.56
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.37 / $7.08 / $12.30
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$15.85 / $47.86 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $9.77 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $19.95 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $8.13 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $19.50 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $275.42 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $21.88 / $29.51
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $190.55 / $467.74
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $52.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $81.28 / $81.28
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$18.20 / $18.20 / $18.62
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $87.10 / $338.84
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
$21.88 / $31.62 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.00 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $21.88 / $43.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $177.83 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $177.83 / $234.42
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $169.82 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $39.81 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.37 / $6.76 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$14.79 / $29.51 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.88 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $10.00 / $26.30
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $22.39 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $26.92 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $37.15 / $79.43
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.04 / $9.55 / $13.49
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$4.57 / $21.38 / $30.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $64.57
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.33 / $16.98
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $20.42 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $165.96 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $48.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $8.51 / $14.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $19.05 / $34.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.18 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $8.51 / $10.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $19.50 / $23.44