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Tennessee rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $271.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.53 / $284.45 / $514.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.85 / $57.84 / $145.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.12 / $220.00 / $297.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.40 / $349.91 / $373.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.46 / $60.68 / $125.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.24 / $352.23 / $554.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.88 / $84.55 / $138.12
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.58 / $281.77 / $438.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.09 / $57.09 / $62.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.87 / $341.02 / $556.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.74 / $80.94 / $129.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.58 / $274.95 / $453.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.04 / $501.04 / $514.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.09 / $1,871.61 / $1,931.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$364.90 / $364.90 / $438.60
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,526.12 / $1,571.91 / $1,571.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $294.92 / $491.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.05 / $68.04 / $122.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.23 / $230.80 / $391.04