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Maine rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $76 · 10th–90th $63$3240%50%10th90th$76Professionalmedian $195 · 10th–90th $59$4470%10%10th90th$195$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$63.10 / $75.86 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $213.80 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $309.03 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $645.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $263.03 / $489.78
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $69.18 / $7,585.78
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $138.04
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $257.04 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $91.20 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $245.47 / $489.78