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Missouri rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Facilitymedian $89 · 10th–90th $58$2450%10%10th90th$89Professionalmedian $107 · 10th–90th $50$3020%10%10th90th$107$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
$57.54 / $89.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $199.53 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $66.07 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $112.20 / $281.84
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
$38.02 / $39.81 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $67.61 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $102.33 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $204.17
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $56.23 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $89.13 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $141.25 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$371.54 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $77.62 / $323.59
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $173.78 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $190.55 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $64.57 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $112.20 / $234.42