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Hawaii rates for HCPCS 72191

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

Facilitymedian $95 · 10th–90th $85$1120%10%20%10th90th$95Professionalmedian $251 · 10th–90th $85$7080%5%10th90th$251$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
$85.11 / $95.50 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $89.13 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $107.15 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $331.13 / $478.63
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $776.25 / $870.96
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $114.82 / $120.23
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $602.56 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $100.00 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $112.20 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $467.74 / $891.25
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $851.14
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $186.21
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $457.09 / $707.95