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Kansas 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
$110.72 / $132.52 / $178.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $391.84 / $462.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.98 / $106.43 / $170.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.94 / $259.32 / $350.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.59 / $231.28 / $445.46
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.73 / $64.06 / $91.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.46 / $209.46 / $209.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.89 / $448.62 / $858.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.59 / $113.13 / $162.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.41 / $316.52 / $699.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$627.76 / $804.96 / $804.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.27 / $513.54 / $3,183.14
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.53 / $127.04 / $1,009.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.95 / $422.42 / $2,699.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.83 / $473.55 / $682.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.53 / $101.86 / $163.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.95 / $365.04 / $550.69