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Washington, DC rates for HCPCS 72191

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

Facilitymedian $347 · 10th–90th $76$5370%20%40%10th90th$347Professionalmedian $204 · 10th–90th $83$4570%5%10%10th90th$204$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
$75.86 / $346.74 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $295.12 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $213.80 / $416.87
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $389.05 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $97.72 / $97.72
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $323.59 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $501.19 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $102.33 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $380.19 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $263.03 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $1,737.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $117.49 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $338.84 / $1,202.26