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Wisconsin rates for HCPCS 72190

Radiologic examination, pelvis; complete, minimum of 3 views

Facilitymedian $35 · 10th–90th $18$1000%10%20%10th90th$35Professionalmedian $39 · 10th–90th $12$1070%5%10th90th$39$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
$18.20 / $18.20 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $18.62 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $33.88 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $18.20 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $35.48 / $51.29
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$31.62 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $112.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $31.62 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $81.28 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $26.92 / $37.15
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $66.07 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $74.13 / $269.15
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $25.12 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $53.70 / $208.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $169.82
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $24.55 / $38.90
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $58.88 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $190.55
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $194.98 / $269.15
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $63.10 / $97.72
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $131.83 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $223.87 / $263.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.20 / $61.66
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $69.18 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $79.43 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $43.65 / $100.00