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West Virginia rates for HCPCS 72194

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

Facilitymedian $60 · 10th–90th $19–$930%50%10th90th$60Professionalmedian $186 · 10th–90th $55–$3550%5%10%10th90th$186$10.0$20.0$50.0$100.0$200.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $208.93 / $331.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
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
$208.93 / $478.63 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $83.18 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $363.08 / $1,148.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $389.05 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $323.59 / $575.44