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Texas rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.70 / $52.14 / $68.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.64 / $171.00 / $516.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.58 / $54.56 / $121.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.36 / $103.99 / $227.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $132.57 / $223.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.95 / $53.56 / $94.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.92 / $61.62 / $61.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.29 / $107.70 / $166.06
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $202.41 / $296.57
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.20 / $48.20 / $52.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.04 / $59.04 / $59.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.69 / $204.58 / $412.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.07 / $61.30 / $107.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.61 / $138.08 / $296.80
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$373.44 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.85 / $196.50 / $375.73
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.34 / $81.66 / $197.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.96 / $134.49 / $326.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.68 / $118.46 / $244.24
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.04 / $59.04 / $59.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.40 / $215.85 / $404.74
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.08 / $60.89 / $104.08
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $139.58 / $289.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.47 / $178.12 / $329.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.45 / $55.58 / $98.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.23 / $114.67 / $221.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.80 / $125.72 / $177.94
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.24 / $48.69 / $67.19
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.56 / $81.31 / $1,100.00