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Connecticut rates for HCPCS 72191

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

Facilitymedian $331 · 10th–90th $148$3980%20%10th90th$331Professionalmedian $229 · 10th–90th $83$6170%5%10th90th$229$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $331.13 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $93.33 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $660.69 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $162.18 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $467.74 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $691.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $125.89 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $537.03 / $831.76
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $134.90
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $309.03 / $467.74
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $107.15 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $288.40 / $707.95