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Florida rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.30 / $72.28 / $296.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $290.51 / $467.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $79.56 / $119.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $212.72 / $350.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.01 / $267.45 / $267.45
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.91 / $137.82 / $142.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.97 / $96.97 / $261.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $385.84 / $800.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.20 / $91.71 / $176.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.40 / $281.10 / $621.91
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.07 / $96.07 / $96.07
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.96 / $350.52 / $446.95
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.00 / $93.67 / $126.09
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.38 / $261.52 / $359.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $182.43 / $338.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.64 / $354.96 / $655.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.84 / $76.86 / $157.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.88 / $268.32 / $503.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.67 / $182.67 / $182.67
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.93 / $48.93 / $48.93
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.72 / $133.72 / $133.72