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Vermont rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.99 / $404.65 / $513.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.34 / $91.56 / $107.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.07 / $321.99 / $406.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.41 / $684.17 / $1,350.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.28 / $682.47 / $1,350.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.85 / $125.74 / $355.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.89 / $338.95 / $886.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.28 / $649.63 / $1,350.88
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.39 / $125.74 / $355.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.89 / $338.95 / $590.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.46 / $724.37 / $1,436.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.08 / $126.69 / $378.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.02 / $543.42 / $1,058.45