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Michigan rates for HCPCS 72190

Radiologic examination, pelvis; complete, minimum of 3 views

Facilitymedian $14 · 10th–90th $14$180%50%90th$14Professionalmedian $34 · 10th–90th $11$790%5%10th90th$34$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.45 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $16.98 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $33.88 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $14.45 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.70 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $67.61
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $47.86 / $64.57
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $35.48 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $14.79 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $34.67 / $77.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.45 / $26.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $100.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $14.79 / $33.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $35.48 / $66.07
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $75.86
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $12.88 / $21.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $29.51 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $97.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $14.45 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $30.20 / $52.48