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Iowa rates for HCPCS 72193

Ct Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.65 / $104.02 / $283.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.40 / $280.72 / $1,183.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.02 / $57.59 / $228.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.65 / $220.00 / $333.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.73 / $177.91 / $183.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.98 / $542.21 / $694.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.88 / $124.89 / $175.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.38 / $417.33 / $552.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.44 / $372.88 / $850.57
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $82.43 / $190.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.52 / $281.17 / $695.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$397.76 / $514.88 / $514.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.34 / $435.72 / $1,817.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.84 / $73.83 / $364.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.97 / $253.59 / $1,526.12
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.91 / $183.09 / $305.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.20 / $493.96 / $781.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $199.29 / $374.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.41 / $293.98 / $494.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.97 / $73.83 / $163.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.46 / $220.19 / $375.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.81 / $442.80 / $521.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.63 / $104.60 / $123.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.18 / $338.20 / $397.90