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North Carolina rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $85.10 / $143.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.59 / $275.00 / $695.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.83 / $85.10 / $247.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.49 / $212.66 / $385.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.91 / $172.26 / $178.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.12 / $225.12 / $225.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.58 / $211.32 / $261.12
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$444.34 / $642.20 / $859.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.97 / $96.97 / $96.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.97 / $651.74 / $1,110.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.40 / $141.87 / $246.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.35 / $495.85 / $894.94
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.69 / $149.00 / $245.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $268.00 / $382.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.69 / $131.69 / $149.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$623.72 / $623.72 / $623.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.29 / $280.69 / $541.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.64 / $540.12 / $967.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.09 / $117.06 / $243.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.38 / $416.82 / $674.42
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$618.08 / $776.08 / $776.08
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.35 / $3,174.35 / $3,174.35
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$554.78 / $554.78 / $683.18
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,704.69 / $2,704.69 / $2,704.69