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Virginia rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.04 / $81.95 / $179.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.29 / $146.04 / $315.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.04 / $55.17 / $97.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.56 / $90.97 / $220.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $160.74 / $265.75
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.02 / $58.62 / $90.46
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.67 / $100.61 / $170.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.80 / $204.09 / $881.54
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.34 / $62.54 / $74.14
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.88 / $147.75 / $204.92
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
$115.97 / $262.52 / $435.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.82 / $67.92 / $122.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.20 / $168.84 / $315.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.65 / $154.91 / $191.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.06 / $56.90 / $69.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.59 / $99.10 / $121.45
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.34 / $115.65 / $165.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $173.00 / $352.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $208.37 / $400.00
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.77 / $73.00 / $115.59
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.69 / $143.86 / $243.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.15 / $199.62 / $389.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.64 / $66.33 / $100.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.93 / $129.26 / $310.47