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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 / $60.77 / $558.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $267.55 / $414.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.64 / $55.90 / $142.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $207.23 / $284.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $170.60 / $222.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.21 / $63.19 / $112.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.89 / $62.89 / $169.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $271.93 / $544.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.95 / $62.02 / $116.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.92 / $209.06 / $432.82
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.80 / $61.80 / $61.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.43 / $258.51 / $343.62
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.26 / $64.12 / $81.11
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.50 / $194.87 / $276.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.24 / $191.01 / $325.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.46 / $238.25 / $444.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.00 / $50.31 / $109.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.50 / $182.27 / $352.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.27 / $134.27 / $134.27
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.04 / $31.04 / $31.04
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.22 / $103.22 / $103.22