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Delaware rates for HCPCS 72191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.35 / $110.75 / $223.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.09 / $388.27 / $446.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.34 / $79.56 / $93.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.53 / $309.93 / $327.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.68 / $514.73 / $693.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.37 / $93.25 / $154.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.80 / $374.54 / $573.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.16 / $447.02 / $733.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.28 / $102.23 / $200.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.78 / $322.91 / $564.41