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North Dakota rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $57.54 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $112.20 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $117.49 / $131.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $194.98 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $75.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $162.18 / $281.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$478.63 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $275.42 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $102.33 / $323.59
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $173.78 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $257.04 / $354.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $91.20 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $165.96 / $257.04