go back

Illinois rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.18 / $152.16 / $201.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.89 / $373.41 / $566.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.34 / $90.78 / $164.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.12 / $262.88 / $393.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.20 / $103.20 / $103.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.63 / $358.43 / $630.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.22 / $113.22 / $113.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.50 / $457.91 / $750.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.95 / $116.10 / $176.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.50 / $335.99 / $609.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $527.00 / $1,822.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.26 / $146.34 / $646.36
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.09 / $392.00 / $1,281.63
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.77 / $372.89 / $403.00
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.45 / $105.69 / $111.80
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.08 / $270.44 / $291.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $116.96 / $365.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.82 / $494.11 / $744.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.97 / $110.88 / $180.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.33 / $354.03 / $578.91