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Oregon rates for HCPCS 72191

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

Facilitymedian $186 · 10th–90th $87$2240%10%20%10th90th$186Professionalmedian $275 · 10th–90th $87$7080%5%10th90th$275$20.0$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
$138.04 / $186.21 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $95.50 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $257.04 / $512.86
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
$323.59 / $501.19 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $120.23 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $389.05 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $691.83 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $181.97 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $501.19 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $186.21 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $660.69 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $173.78 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $478.63 / $741.31
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $588.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $676.08 / $933.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $173.78 / $245.47
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $478.63 / $758.58
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $181.97 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $537.03 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $457.09 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $112.20 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $346.74 / $707.95