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Delaware rates for HCPCS 71275

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.66 / $112.50 / $226.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $392.89 / $482.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.98 / $89.18 / $234.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.63 / $309.93 / $350.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.22 / $496.23 / $698.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.42 / $99.09 / $156.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.63 / $367.80 / $590.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $284.83 / $388.87
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.32 / $108.33 / $144.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.98 / $400.19 / $689.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.80 / $102.42 / $207.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.78 / $309.32 / $580.44