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Michigan rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $66 · 10th–90th $63$830%50%10th90th$66Professionalmedian $126 · 10th–90th $52$3550%5%10%10th90th$126$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
$63.10 / $66.07 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $69.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $131.83 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $51.29 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $67.61 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $147.91 / $269.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $66.07 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $436.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $66.07 / $169.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $134.90 / $295.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $416.87
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $63.10 / $95.50
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $134.90 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $177.83 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $66.07 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $109.65 / $257.04