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Arkansas rates for HCPCS 71275

Ct Angiography Chest W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.57 / $132.05 / $150.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $438.87 / $625.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.33 / $116.27 / $210.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.31 / $309.93 / $508.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.06 / $237.06 / $404.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.77 / $138.75 / $158.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.14 / $319.42 / $412.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.70 / $407.25 / $452.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.55 / $131.75 / $146.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.15 / $275.50 / $306.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.13 / $196.43 / $323.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.05 / $487.19 / $747.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.81 / $124.21 / $185.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.67 / $374.85 / $606.11
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.62 / $465.31 / $479.35
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.72 / $164.39 / $181.75
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.61 / $367.33 / $367.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.36 / $465.54 / $590.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.43 / $111.26 / $170.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.81 / $341.87 / $490.21