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Utah rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $85.11 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $173.78 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $69.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $151.36 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $104.71 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $158.49 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $218.78 / $309.03
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $114.82 / $138.04
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $104.71 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $104.71 / $229.09