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Arizona rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $182 · 10th–90th $68$2450%20%10th90th$182Professionalmedian $120 · 10th–90th $51$3390%5%10%10th90th$120$10.0$50.0$200.0$1.0K$5.0K

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
$75.86 / $181.97 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $218.78 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $125.89 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $302.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $102.33
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $125.89 / $199.53
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $134.90 / $263.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$371.54 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $58.88 / $323.59
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $173.78 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $54.95 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $114.82 / $223.87