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Iowa rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.50 / $97.58 / $267.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $236.72 / $820.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.60 / $55.00 / $268.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.10 / $131.86 / $220.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.33 / $167.20 / $172.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.30 / $318.92 / $570.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.39 / $117.13 / $163.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.25 / $200.48 / $438.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $220.44 / $721.26
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.80 / $77.51 / $171.97
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.50 / $134.43 / $575.94
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$373.44 / $482.96 / $482.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $270.54 / $1,593.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.27 / $69.28 / $325.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.62 / $160.75 / $1,318.35
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$167.20 / $172.07 / $286.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.20 / $302.55 / $481.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $117.50 / $222.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.27 / $177.74 / $311.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.20 / $63.84 / $120.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $110.43 / $210.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.32 / $259.89 / $305.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.58 / $98.20 / $115.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.74 / $161.69 / $190.30