go back

Florida 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
$51.29 / $73.37 / $292.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $300.00 / $520.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $88.70 / $349.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $217.28 / $369.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.17 / $213.55 / $412.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.58 / $98.18 / $176.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.84 / $156.34 / $156.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.41 / $98.41 / $264.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.96 / $373.63 / $782.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.11 / $94.16 / $180.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.22 / $273.99 / $620.05
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.54 / $96.54 / $96.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.76 / $343.77 / $458.07
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.37 / $94.13 / $126.71
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.59 / $251.77 / $369.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $182.43 / $336.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.11 / $333.57 / $660.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.43 / $79.56 / $172.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.79 / $245.72 / $495.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.17 / $179.17 / $179.17
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.76 / $52.76 / $52.76
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.41 / $126.41 / $126.41