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Rhode Island rates for HCPCS 72194

Ct Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$369.55 / $369.55 / $514.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.78 / $343.39 / $415.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.08 / $55.68 / $64.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.69 / $290.93 / $350.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.42 / $349.93 / $605.52
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.46 / $82.08 / $113.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.49 / $267.83 / $267.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.61 / $536.00 / $589.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.04 / $115.70 / $123.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.57 / $420.31 / $472.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.45 / $371.73 / $569.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.43 / $77.12 / $121.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.01 / $283.70 / $433.43