go back

North Dakota 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
$64.01 / $64.01 / $146.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.32 / $325.00 / $524.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.64 / $87.78 / $247.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.32 / $227.00 / $561.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.80 / $697.02 / $730.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$168.98 / $208.54 / $217.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$395.83 / $488.48 / $512.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.41 / $98.41 / $98.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.39 / $550.00 / $888.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.59 / $153.74 / $221.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.67 / $393.80 / $690.55
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$804.96 / $804.96 / $804.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.83 / $603.46 / $3,183.14
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.85 / $182.88 / $1,009.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.78 / $421.42 / $2,699.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $594.13 / $769.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.40 / $167.56 / $227.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.73 / $400.35 / $571.96