go back

Massachusetts rates for HCPCS 72194

Ct Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.07 / $45.08 / $168.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.78 / $343.39 / $433.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.08 / $58.18 / $154.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.69 / $214.05 / $357.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.18 / $417.20 / $525.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.47 / $452.47 / $2,261.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.77 / $87.42 / $439.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.28 / $412.74 / $1,946.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.38 / $107.55 / $145.24
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$450.40 / $450.40 / $907.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.33 / $483.86 / $864.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.34 / $86.20 / $175.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.06 / $401.75 / $714.22
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $291.50 / $507.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.12 / $618.75 / $816.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.04 / $139.69 / $183.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.07 / $482.78 / $633.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.55 / $82.79 / $92.35
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$417.20 / $525.76 / $525.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.01 / $495.46 / $2,261.56
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.84 / $92.58 / $439.20
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.60 / $420.27 / $1,946.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.45 / $403.52 / $706.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.77 / $74.93 / $141.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.56 / $321.02 / $827.31