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Alabama rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $97.72 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $218.78 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $57.54 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $288.40 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $114.82 / $144.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $173.78 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $81.28 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $239.88 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $426.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $57.54 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $186.21 / $346.74