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Michigan rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $71 · 10th–90th $68$890%50%10th90th$71Professionalmedian $204 · 10th–90th $58$4900%5%10%10th90th$204$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
$67.61 / $70.79 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $54.95 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $199.53 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $72.44 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $257.04 / $489.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $70.79 / $123.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $630.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $74.13 / $177.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $223.87 / $467.74
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $316.23 / $537.03
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $67.61 / $100.00
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $194.98 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $70.79 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $363.08