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Arizona rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $195 · 10th–90th $107$2630%10%20%10th90th$195Professionalmedian $186 · 10th–90th $55$4680%5%10th90th$186$10.0$50.0$200.0$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
$107.15 / $194.98 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $41.69 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $67.61 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $263.03 / $416.87
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
$186.21 / $288.40 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $64.57 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $223.87 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$398.11 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $61.66 / $363.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $234.42 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $58.88 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $208.93 / $354.81