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Missouri rates for HCPCS 74160

Computed tomography, abdomen; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.34 / $77.54 / $127.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.45 / $312.88 / $1,201.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.24 / $76.50 / $285.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.51 / $220.61 / $761.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.11 / $132.11 / $202.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.49 / $62.62 / $94.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.65 / $280.74 / $633.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.89 / $80.56 / $133.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.76 / $202.88 / $515.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.05 / $69.05 / $69.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.74 / $344.21 / $590.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $86.12 / $150.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.21 / $259.99 / $470.28
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$436.88 / $565.04 / $565.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.48 / $374.21 / $1,846.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.79 / $86.41 / $444.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.75 / $291.01 / $2,104.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.19 / $109.19 / $109.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.39 / $325.87 / $548.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.40 / $77.55 / $151.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.73 / $237.12 / $400.04