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Delaware rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.29 / $57.06 / $135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.27 / $220.65 / $271.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.78 / $51.30 / $79.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.94 / $145.74 / $196.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $250.92 / $352.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.32 / $55.96 / $93.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.69 / $158.60 / $286.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.10 / $189.10 / $189.10
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.32 / $64.51 / $529.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.10 / $201.16 / $343.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.36 / $56.16 / $121.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $125.91 / $281.44