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New Jersey rates for HCPCS 72191

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

Facilitymedian $407 · 10th–90th $224$6610%20%10th90th$407Professionalmedian $219 · 10th–90th $81$5010%5%10th90th$219$50.0$200.0$1.0K$5.0K$20.0K

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
$223.87 / $407.38 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $223.87 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $467.74 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $107.15 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $354.81 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $112.20 / $134.90
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $269.15 / $354.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $630.96
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $141.25
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $190.55 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $100.00 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $288.40 / $562.34