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Rhode Island rates for HCPCS 72193

Ct Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$350.35 / $350.35 / $487.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.77 / $299.32 / $323.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.97 / $53.18 / $61.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.80 / $246.14 / $266.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.89 / $334.86 / $529.21
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $78.23 / $109.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.65 / $256.64 / $256.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $485.57 / $533.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.58 / $105.00 / $117.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.01 / $374.66 / $421.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $307.97 / $446.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.89 / $73.12 / $122.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.92 / $244.48 / $393.57