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Rhode Island rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$542.40 / $542.40 / $754.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.04 / $388.27 / $470.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.83 / $83.24 / $96.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.21 / $309.93 / $373.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.64 / $389.06 / $805.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.85 / $121.21 / $170.01
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.49 / $267.83 / $267.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $644.79 / $702.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.72 / $162.58 / $181.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.31 / $474.14 / $561.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.54 / $457.14 / $693.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.34 / $105.56 / $179.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.17 / $346.99 / $534.39