go back

Delaware rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.98 / $71.37 / $144.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.23 / $267.55 / $329.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $51.45 / $60.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.66 / $217.46 / $270.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.09 / $349.00 / $448.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.78 / $60.24 / $99.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.40 / $272.88 / $361.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.87 / $231.87 / $292.75
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.61 / $68.73 / $95.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $311.67 / $550.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.62 / $73.90 / $131.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.40 / $282.10 / $419.10