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Arizona rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.79 / $287.39 / $359.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.24 / $388.27 / $618.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.23 / $90.18 / $130.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.49 / $309.93 / $508.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.72 / $193.25 / $193.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $303.52 / $379.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.88 / $84.43 / $105.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.70 / $219.09 / $273.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.97 / $96.97 / $96.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $469.30 / $735.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.93 / $103.42 / $182.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.38 / $334.44 / $585.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$792.40 / $792.40 / $792.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.54 / $452.55 / $3,081.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.08 / $87.40 / $554.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.62 / $365.83 / $2,625.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.93 / $393.23 / $701.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.08 / $78.70 / $161.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.62 / $315.36 / $522.91