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Virginia rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $91.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $91.20 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $114.82 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $72.44 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $114.82 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $194.98 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $66.07 / $112.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $120.23 / $181.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.80 / $64.57 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $165.96 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $63.10 / $79.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $97.72 / $125.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $436.52
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $104.71 / $123.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $229.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $208.93 / $954.99
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $75.86 / $125.89
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $165.96 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $398.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $125.89 / $309.03