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Alabama rates for HCPCS 72194

Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $218.78 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $338.84 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $131.83 / $154.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $208.93 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $85.11 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $281.84 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $288.40 / $524.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $60.26 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $223.87 / $446.68