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Alaska rates for HCPCS 72191

Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $275 · 10th–90th $275$2750%50%100%$275Professionalmedian $257 · 10th–90th $85$8710%5%10th90th$257$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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $89.13 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $218.78 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $912.01 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $165.96 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $645.65 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $812.83 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $245.47 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,318.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,258.93 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $338.84 / $562.34
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $977.24
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $165.96 / $295.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $645.65 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $812.83 / $2,398.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $251.19 / $831.76
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $616.60 / $1,698.24