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Oklahoma rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $79.43 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $67.61 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $107.15 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $43.65 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $138.04 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $54.95 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $57.54 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $147.91 / $245.47
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
$131.83 / $194.98 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $64.57 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $134.90 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $93.33 / $239.88