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Arkansas rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $85 · 10th–90th $60–$890%50%10th90th$85Professionalmedian $178 · 10th–90th $55–$3390%5%10th90th$178$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $85.11 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $74.13 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $213.80 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $257.04 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $69.18 / $87.10
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $186.21 / $239.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $194.98 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $74.13 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $251.19 / $389.05
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $446.68
Qualchoice
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $104.71 / $114.82
Qualchoice
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $229.09 / $398.11