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Minnesota rates for HCPCS 72193

Ct Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.11 / $56.11 / $56.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.40 / $272.44 / $448.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $56.96 / $208.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.65 / $217.46 / $333.10
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.07 / $46.07 / $46.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.81 / $681.89 / $827.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.92 / $157.66 / $191.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$358.52 / $524.23 / $635.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.45 / $191.11 / $459.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.27 / $450.52 / $754.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.57 / $103.77 / $178.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.19 / $346.75 / $580.42
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.11 / $168.50 / $362.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.74 / $441.21 / $688.58
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.70 / $101.62 / $164.94
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.04 / $339.59 / $551.17
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$514.88 / $514.88 / $514.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.03 / $444.24 / $1,817.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.19 / $113.32 / $364.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.04 / $335.84 / $1,526.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.77 / $416.03 / $750.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.19 / $104.78 / $276.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.58 / $317.77 / $614.58