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Ohio rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.36 / $73.30 / $179.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $199.55 / $409.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.61 / $55.17 / $147.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.56 / $119.70 / $285.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.72 / $101.03 / $222.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.24 / $50.36 / $80.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.62 / $61.62 / $61.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.29 / $226.22 / $433.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.24 / $61.43 / $109.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.23 / $170.37 / $314.16
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.81 / $144.81 / $144.81
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.14 / $57.14 / $57.14
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.67 / $87.67 / $87.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.26 / $96.59 / $168.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $59.04 / $59.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.85 / $209.22 / $418.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.87 / $69.65 / $116.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.54 / $134.60 / $290.30
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $53.41 / $59.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $202.49 / $419.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.09 / $72.63 / $135.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.20 / $126.01 / $281.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.55 / $115.99 / $179.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $180.67 / $339.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.58 / $61.14 / $111.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.34 / $108.09 / $221.36