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Texas rates for HCPCS 72192

Computed tomography, pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $52.48 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $114.82 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $51.29 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $93.33 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $104.71 / $147.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $323.59
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $48.98 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $63.10 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $147.91 / $295.12
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.74 / $467.74 / $467.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$323.59 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $51.29 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $66.07 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $123.03 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $125.89 / $323.59
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $58.88 / $83.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $208.93 / $398.11
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $61.66 / $100.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $147.91 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $114.82 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $51.29 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $79.43 / $97.72