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West Virginia rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $309.03 / $562.34
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $9.12 / $13.49
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$48.98 / $331.13 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $34.67 / $69.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.96 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $20.89 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $24.55 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $26.92 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $223.87
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
$21.38 / $38.02 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $12.02 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $26.92 / $91.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $363.08 / $616.60
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$107.15 / $239.88 / $457.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $74.13 / $74.13
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $14.13 / $21.88
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $35.48 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.90 / $54.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.17 / $10.00 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $20.89 / $38.02