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Florida 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 / $60.26 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $75.86 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $208.93 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $53.70 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $199.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $61.66 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $60.26 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $190.55 / $446.68
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $338.84
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $56.23 / $81.28
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $190.55 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $91.20 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $436.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $50.12 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $186.21 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $34.67 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $165.96