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Wyoming rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.24 / $49.24 / $50.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.55 / $176.66 / $278.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.78 / $52.06 / $281.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.25 / $112.89 / $226.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $579.00 / $579.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.00 / $216.00 / $216.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.00 / $363.00 / $363.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.18 / $286.77 / $476.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.67 / $90.21 / $156.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.63 / $183.20 / $334.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.36 / $284.89 / $727.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.92 / $97.61 / $168.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.80 / $177.62 / $558.79