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Georgia rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.31 / $65.81 / $228.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.03 / $275.00 / $654.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.66 / $62.15 / $188.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.87 / $220.00 / $457.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $116.89 / $243.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.08 / $69.92 / $92.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $227.68 / $443.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.30 / $68.22 / $142.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.94 / $139.63 / $314.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.44 / $100.82 / $168.21
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
$144.16 / $316.38 / $541.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.03 / $86.91 / $155.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.74 / $207.30 / $424.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.07 / $261.94 / $756.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.63 / $87.08 / $220.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.44 / $162.62 / $756.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $121.45 / $227.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.18 / $240.61 / $463.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.99 / $70.20 / $122.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.43 / $143.11 / $289.37