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Massachusetts rates for HCPCS 72193

Ct Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.96 / $42.97 / $160.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.77 / $284.45 / $572.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.00 / $58.92 / $162.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.80 / $225.94 / $385.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.84 / $397.76 / $501.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.62 / $393.19 / $1,871.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.13 / $82.87 / $364.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.12 / $328.72 / $1,571.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.28 / $104.16 / $138.41
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$356.88 / $450.40 / $905.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.44 / $399.12 / $778.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.63 / $81.93 / $168.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.92 / $324.52 / $621.89
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.02 / $259.91 / $458.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.62 / $560.27 / $739.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.76 / $133.15 / $174.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.86 / $430.51 / $564.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.38 / $95.53 / $164.38
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$397.76 / $501.04 / $501.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $401.82 / $1,871.61
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.34 / $88.28 / $364.90
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.26 / $344.07 / $1,571.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.75 / $343.10 / $639.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.84 / $76.54 / $136.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.58 / $266.56 / $564.50