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Minnesota rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.60 / $52.60 / $52.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $220.65 / $646.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.78 / $54.56 / $183.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.10 / $166.33 / $220.00
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.19 / $43.19 / $43.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.85 / $395.60 / $479.80
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.10 / $147.97 / $179.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.85 / $247.61 / $300.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.80 / $179.17 / $431.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.06 / $270.12 / $547.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.39 / $97.32 / $169.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.43 / $172.56 / $410.59
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.48 / $157.97 / $339.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.06 / $271.24 / $535.11
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.63 / $95.79 / $154.69
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.43 / $168.46 / $364.51
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$482.96 / $482.96 / $482.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.10 / $292.98 / $1,593.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $106.23 / $325.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.23 / $183.68 / $1,318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $265.70 / $491.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.60 / $93.16 / $174.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.03 / $168.25 / $310.77