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Missouri rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $97.72 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $114.82 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $60.26 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $74.13 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $100.00 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $66.07 / $93.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $91.20 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $77.62 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $134.90 / $309.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$407.38 / $524.81 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $269.15 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $85.11 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $181.97 / $1,659.59
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $346.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $112.20 / $245.47