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Missouri rates for HCPCS 72194

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

Facilitymedian $132 · 10th–90th $66$3160%10%20%10th90th$132Professionalmedian $209 · 10th–90th $60$4680%5%10th90th$209$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
$66.07 / $131.83 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $213.80 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $223.87 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $63.10 / $85.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $208.93 / $288.40
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
$229.09 / $380.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $302.00 / $549.54
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
$257.04 / $416.87 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $85.11 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $338.84 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $72.44 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $426.58