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New Mexico rates for HCPCS 72191

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

Facilitymedian $120 · 10th–90th $115$1200%50%10th$120Professionalmedian $219 · 10th–90th $79$4570%5%10th90th$219$20.0$50.0$100.0$200.0$500.0$1.0K

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
$114.82 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $91.20 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $218.78 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $213.80 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $416.87 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $295.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $851.14
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $117.49 / $165.96
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $79.43 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $346.74 / $575.44