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North Dakota rates for HCPCS 71260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.92 / $43.93 / $94.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.54 / $282.66 / $521.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.45 / $56.23 / $161.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.61 / $228.97 / $650.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.02 / $412.21 / $432.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.83 / $133.07 / $139.09
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.19 / $279.13 / $292.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.24 / $63.24 / $63.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.01 / $361.50 / $573.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.21 / $102.77 / $144.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.63 / $268.01 / $441.05
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$518.00 / $518.00 / $518.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.21 / $439.39 / $1,890.30
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.02 / $127.20 / $450.76
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.38 / $303.33 / $1,576.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.32 / $368.05 / $497.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.88 / $112.93 / $156.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.13 / $283.58 / $473.66