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Alaska rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $178 · 10th–90th $178$3980%20%40%90th$178Professionalmedian $200 · 10th–90th $58$6460%5%10%10th90th$200$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $218.78 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $707.95 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $107.15 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $524.81 / $602.56
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $1,445.44
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $158.49 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $457.09 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $954.99 / $1,445.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $218.78 / $363.08
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $588.84 / $741.31
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $107.15 / $234.42
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $524.81 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $575.44 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $162.18 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $416.87 / $1,122.02