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Massachusetts rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.83 / $66.83 / $248.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.04 / $383.93 / $618.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.83 / $85.98 / $183.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.12 / $309.93 / $380.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.45 / $618.08 / $776.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.82 / $604.73 / $3,174.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.66 / $126.99 / $554.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.82 / $489.46 / $2,704.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.99 / $158.61 / $214.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$449.57 / $548.38 / $905.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.29 / $626.67 / $1,030.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.40 / $126.34 / $259.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.04 / $491.35 / $851.59
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.42 / $335.04 / $599.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.70 / $749.53 / $992.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.63 / $205.44 / $271.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.07 / $550.59 / $721.95
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $164.66 / $173.00
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $776.08 / $776.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.88 / $631.13 / $3,174.35
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.12 / $136.09 / $554.78
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.42 / $518.15 / $2,704.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.20 / $571.12 / $1,046.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.95 / $118.32 / $229.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.02 / $354.03 / $692.23