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Wyoming rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $323.59 / $691.83
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.32 / $8.32 / $8.32
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$295.12 / $371.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $64.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $13.49 / $20.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $22.91 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $112.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $33.11 / $33.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $44.67 / $81.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $14.45 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $31.62 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $87.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $15.85 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $34.67 / $58.88