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West Virginia rates for HCPCS 72191

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

Facilitymedian $89 · 10th–90th $28$1380%50%10th90th$89Professionalmedian $186 · 10th–90th $81$3890%10%10th90th$186$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $89.13 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $208.93 / $346.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
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
$245.47 / $575.44 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $120.23 / $436.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $436.52 / $1,318.26
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $478.63 / $831.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $100.00 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $389.05 / $676.08