go back

Colorado rates for HCPCS 72194

Ct Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.10 / $62.84 / $62.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.81 / $282.33 / $433.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $61.24 / $105.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.68 / $212.31 / $362.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.96 / $315.08 / $782.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.46 / $82.56 / $117.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.44 / $246.29 / $596.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.65 / $115.65 / $115.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.25 / $399.85 / $693.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.58 / $76.56 / $140.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.50 / $315.00 / $522.17
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.09 / $450.09 / $482.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $400.95 / $535.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.93 / $92.57 / $211.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.35 / $308.86 / $490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.05 / $454.19 / $691.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.73 / $100.35 / $156.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.41 / $343.94 / $535.03