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Virginia rates for HCPCS 72191

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

Facilitymedian $148 · 10th–90th $76$5500%10%10th90th$148Professionalmedian $229 · 10th–90th $83$5250%5%10th90th$229$50.0$200.0$1.0K$5.0K

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
$75.86 / $147.91 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $302.00 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $104.71 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $302.00 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $389.05 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $109.65 / $165.96
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $323.59 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $478.63 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $104.71 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $371.54 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $269.15 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $831.76 / $851.14
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $158.49 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $426.58
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $389.05 / $1,548.82
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $117.49 / $173.78
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $338.84 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $100.00 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $309.03 / $645.65