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Maryland rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $58 · 10th–90th $47$650%20%40%10th90th$58Professionalmedian $178 · 10th–90th $56$4370%5%10th90th$178$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
$46.77 / $57.54 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $97.72 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $295.12 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $64.57 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $234.42 / $288.40
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $63.10 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $245.47 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $61.66 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $213.80 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $63.10 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $223.87 / $389.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $380.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $57.54 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $204.17 / $295.12