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Illinois rates for HCPCS 71260

Computed tomography, thorax, diagnostic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $81.28 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $288.40 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $70.79 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $165.96 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $123.03 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $52.48 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $74.13 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $194.98 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $77.62 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $190.55 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $446.68 / $1,995.26
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $112.20 / $501.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $323.59 / $1,621.81
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $67.61 / $72.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $138.04 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $478.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $74.13 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $218.78 / $380.19