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Arizona rates for HCPCS 71275

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

Facilitymedian $302 · 10th–90th $115$4170%10%10th90th$302Professionalmedian $166 · 10th–90th $79$5370%10%10th90th$166$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $302.00 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $239.88 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $81.28 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $158.49 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $602.56
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $102.33 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $275.42 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $281.84 / $588.84
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $812.83 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $354.81 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $93.33 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $275.42 / $478.63