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Iowa rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.75 / $274.98 / $508.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.89 / $297.62 / $513.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $84.84 / $140.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.49 / $220.00 / $380.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$271.94 / $280.10 / $288.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.97 / $726.06 / $1,153.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.25 / $192.37 / $264.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$314.07 / $533.67 / $929.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.32 / $465.00 / $1,361.80
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.09 / $129.26 / $342.92
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.23 / $336.00 / $1,116.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $792.40 / $792.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.52 / $571.42 / $3,081.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.41 / $114.14 / $554.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.10 / $365.86 / $2,625.91
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$280.10 / $288.26 / $469.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.73 / $625.00 / $912.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $223.85 / $506.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.69 / $421.93 / $1,441.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.65 / $105.18 / $199.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.42 / $278.32 / $487.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.97 / $594.90 / $699.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.30 / $162.40 / $191.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$341.68 / $432.50 / $508.90