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Maryland rates for HCPCS 72194

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

Facilitymedian $60 · 10th–90th $50$600%50%10th$60Professionalmedian $214 · 10th–90th $59$4900%5%10th90th$214$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $331.13 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $67.61 / $79.43
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $281.84 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $66.07 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $295.12 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $64.57 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $239.88 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $63.10 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $263.03 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $269.15 / $389.05
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $61.66 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $208.93 / $295.12