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New Mexico rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $91 · 10th–90th $74$980%50%10th90th$91Professionalmedian $195 · 10th–90th $54$3630%5%10%10th90th$195$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$74.13 / $91.20 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $72.44 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $158.49 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $72.44 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $269.15 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $269.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $407.38 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $74.13 / $107.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $269.15 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $53.70 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $223.87 / $416.87