go back

Florida rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.05 / $51.30 / $175.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.80 / $171.00 / $323.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.74 / $52.88 / $133.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.14 / $119.70 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $94.71 / $131.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.63 / $48.94 / $93.81
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.62 / $61.62 / $88.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.04 / $59.04 / $158.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $191.06 / $403.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $57.76 / $109.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.57 / $133.00 / $290.97
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.92 / $57.92 / $57.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $173.31 / $287.06
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.54 / $60.09 / $76.02
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.45 / $109.78 / $219.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $110.46 / $191.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.58 / $168.92 / $336.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.70 / $46.14 / $95.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.77 / $104.66 / $231.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $87.33 / $87.33
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.67 / $32.67 / $32.67
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.66 / $54.66 / $54.66