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New York rates for HCPCS 72191

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

Facilitymedian $129 · 10th–90th $91$2820%20%10th90th$129Professionalmedian $240 · 10th–90th $85$5750%10%10th90th$240$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$91.20 / $128.82 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $95.50 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $89.13 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $213.80 / $575.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $245.47 / $371.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $501.19 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $125.89 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $407.38 / $1,230.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $117.49 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $263.03 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $707.95
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $213.80
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $302.00 / $512.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $107.15
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $812.83
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $123.03 / $223.87
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $316.23 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $281.84 / $891.25
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $97.72 / $281.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $380.19 / $758.58
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $218.78
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $269.15 / $562.34