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Indiana rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $71 · 10th–90th $56$890%20%10th90th$71Professionalmedian $174 · 10th–90th $56$3890%5%10th90th$174$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $87.10 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $213.80 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $51.29 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $87.10 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $223.87 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $194.98 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $354.81 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $74.13 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $269.15 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $218.78 / $389.05