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West Virginia rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $63 · 10th–90th $58$910%20%40%10th90th$63Professionalmedian $174 · 10th–90th $55$3090%5%10th90th$174$10.0$20.0$50.0$100.0$200.0$500.0$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
$57.54 / $63.10 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $83.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $199.53 / $316.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $239.88 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $407.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $79.43 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $309.03 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $144.54 / $147.91
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $251.19 / $446.68