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Maine rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $71 · 10th–90th $71$710%50%$71Professionalmedian $120 · 10th–90th $52$2820%5%10th90th$120$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $66.07 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $112.20 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $194.98 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $74.13 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $120.23 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $288.40 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $218.78 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $75.86 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $125.89 / $234.42
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,079.46
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $457.09
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $70.79 / $128.82
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $144.54 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $85.11 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $125.89 / $263.03