go back

Michigan rates for HCPCS 74150

Ct Abdomen W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.51 / $72.51 / $91.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.62 / $223.90 / $274.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.28 / $60.32 / $124.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.92 / $143.43 / $214.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.15 / $55.10 / $106.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $196.33 / $247.99
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.59 / $88.94 / $88.94
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.08 / $132.08 / $132.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $95.06 / $171.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.44 / $64.44 / $64.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $258.27 / $425.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.40 / $67.59 / $139.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.28 / $157.50 / $279.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.66 / $72.51 / $91.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.44 / $182.35 / $286.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.66 / $67.84 / $109.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.20 / $135.69 / $214.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $78.84 / $152.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $185.33 / $318.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.47 / $62.47 / $98.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.26 / $108.71 / $230.96