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Oklahoma rates for HCPCS 72191

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

Facilitymedian $112 · 10th–90th $87$5370%20%10th90th$112Professionalmedian $219 · 10th–90th $83$4370%5%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$87.10 / $112.20 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $87.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $302.00 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $398.11 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $309.03 / $478.63
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $97.72 / $549.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $346.74 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $331.13 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $234.42 / $467.74