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Wisconsin rates for HCPCS 74160

Computed tomography, abdomen; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $125.89 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $109.65 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $229.09 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $91.20 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $275.42 / $977.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $208.93 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $186.21 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $524.81 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $125.89 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $398.11 / $724.44
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $707.95
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $131.83 / $177.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $380.19 / $524.81
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$562.34 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $562.34 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $134.90 / $446.68
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $426.58 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $338.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $588.84 / $1,096.48
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $549.54 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,174.90 / $1,905.46
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $316.23 / $446.68
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $870.96 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,584.89
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $223.87 / $281.84
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.03 / $645.65 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $100.00 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $309.03 / $676.08