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Colorado rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.88 / $59.88 / $86.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.01 / $279.43 / $414.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $58.92 / $100.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.16 / $217.46 / $314.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.70 / $294.45 / $772.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.93 / $78.29 / $112.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.75 / $238.26 / $595.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.98 / $110.98 / $110.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.30 / $360.78 / $552.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.45 / $72.95 / $133.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.00 / $273.61 / $424.79
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.72 / $430.72 / $461.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.67 / $377.17 / $523.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.51 / $88.23 / $202.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.16 / $295.93 / $490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.85 / $400.69 / $614.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.28 / $97.07 / $191.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.11 / $303.55 / $466.45