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Arizona rates for HCPCS 72194

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

Facilitymedian $251 · 10th–90th $162$2750%20%40%10th90th$251Professionalmedian $214 · 10th–90th $58$4900%5%10th90th$214$10.0$50.0$200.0$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
$177.83 / $251.19 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $46.77 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $549.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $70.79 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $275.42 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $66.07 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $338.84 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $67.61 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $275.42 / $524.81
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $537.03 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $302.00 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $251.19 / $436.52