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Rhode Island rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$328.96 / $328.96 / $457.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $220.65 / $267.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.45 / $51.30 / $78.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.09 / $158.41 / $209.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.69 / $196.11 / $348.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.38 / $73.40 / $101.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.90 / $122.71 / $122.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.16 / $281.01 / $355.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.56 / $98.41 / $110.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.12 / $176.95 / $251.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $233.66 / $329.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.06 / $64.13 / $109.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.69 / $131.41 / $245.02