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Maryland rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $54 · 10th–90th $45$600%20%40%10th90th$54Professionalmedian $115 · 10th–90th $51$3240%5%10%10th90th$115$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
$44.67 / $53.70 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $72.44 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $125.89 / $316.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $169.82 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $60.26 / $69.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $109.65 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $223.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $151.36 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $158.49 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $56.23 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $102.33 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $371.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $58.88 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $275.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $53.70 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $97.72 / $141.25