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Illinois rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $97.72 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $87.10 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $123.03 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $102.33 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $52.48 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $102.33 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $162.18 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $75.86 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $134.90 / $288.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $354.81 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $112.20 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $177.83 / $707.95
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $69.18 / $72.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $100.00 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $70.79 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $144.54 / $288.40