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Georgia rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $102.33 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $218.78 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $63.10 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $75.86 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $239.88 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $186.21 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $83.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $295.12 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $74.13 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $229.09 / $851.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $190.55 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $588.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $69.18 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $263.03 / $446.68