go back

Tennessee rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $253.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.04 / $275.00 / $374.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.60 / $55.00 / $143.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.58 / $202.76 / $227.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.40 / $243.88 / $291.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.95 / $52.18 / $96.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.63 / $238.54 / $364.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.34 / $79.56 / $129.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.38 / $157.10 / $271.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $53.41 / $59.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.33 / $252.27 / $434.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.83 / $75.92 / $121.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.52 / $165.33 / $315.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$470.00 / $470.00 / $482.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.12 / $1,640.91 / $1,640.91
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$325.83 / $325.83 / $412.05
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,318.35 / $1,357.90 / $1,357.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.37 / $219.04 / $356.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.69 / $63.85 / $112.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.88 / $136.60 / $223.62