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Texas rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.02 / $278.75 / $593.27
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.39 / $7.00 / $11.75
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$15.60 / $44.44 / $441.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.05 / $49.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.87 / $8.55 / $22.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.91 / $17.93 / $34.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $22.06 / $46.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.35 / $8.11 / $15.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.42 / $14.42 / $14.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.08 / $279.08 / $478.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $20.72 / $29.89
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.87 / $192.27 / $438.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $35.49 / $49.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.89 / $27.48 / $81.44
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$18.03 / $18.26 / $19.27
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.86 / $8.47 / $14.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $91.81 / $374.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.61 / $9.61 / $9.61
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.00 / $22.00 / $22.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $30.49 / $55.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.95 / $9.68 / $17.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.17 / $21.20 / $38.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.63 / $359.91 / $359.91
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.54 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$49.08 / $107.45 / $107.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.47 / $178.47 / $235.80
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.59 / $77.59 / $77.59
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.00 / $163.00 / $168.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.25 / $32.65 / $68.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $35.32 / $71.50
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.52 / $13.35 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.80 / $31.48 / $76.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $23.91 / $47.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.56 / $33.28 / $79.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.61 / $9.61 / $9.61
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.00 / $22.00 / $22.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $33.43 / $73.51
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.02 / $9.49 / $17.05
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.17 / $20.59 / $36.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $28.87 / $49.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.26 / $8.73 / $14.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.87 / $19.85 / $34.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $25.97 / $36.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.90 / $7.94 / $10.96
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.28 / $18.03 / $25.89