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Oklahoma rates for HCPCS 71275

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

Facilitymedian $120 · 10th–90th $107$1350%20%40%10th90th$120Professionalmedian $170 · 10th–90th $79$4070%10%10th90th$170$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$107.15 / $120.23 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $107.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $218.78 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $69.18 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $281.84 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $93.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $302.00 / $478.63
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
$269.15 / $389.05 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $100.00 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $323.59 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $213.80 / $457.09