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Virginia 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
$77.62 / $138.04 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $93.33 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $218.78 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $107.15 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $269.15 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $398.11 / $1,737.80
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $112.20 / $169.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $288.40 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $489.78 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $354.81 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $331.13 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $95.50 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $234.42 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $870.96
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $169.82 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $426.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $380.19 / $1,513.56
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $117.49 / $194.98
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $338.84 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $794.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $102.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $288.40 / $645.65