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Arizona rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.14 / $99.34 / $208.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.08 / $225.12 / $693.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.78 / $55.17 / $183.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.97 / $173.87 / $285.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.80 / $118.10 / $133.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.15 / $68.52 / $94.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.62 / $61.62 / $61.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.55 / $151.47 / $189.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.72 / $51.10 / $63.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.83 / $100.38 / $125.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.04 / $59.04 / $59.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $225.00 / $372.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.04 / $63.38 / $109.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.09 / $161.38 / $280.01
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$482.96 / $482.96 / $482.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.47 / $230.54 / $1,593.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.45 / $52.76 / $325.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.23 / $177.06 / $1,318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.47 / $193.55 / $317.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.45 / $47.59 / $99.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.23 / $136.47 / $207.39