go back

Illinois rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.98 / $108.67 / $129.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.79 / $366.58 / $874.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.39 / $81.81 / $161.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.44 / $292.22 / $397.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.56 / $210.35 / $240.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.91 / $62.71 / $88.52
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.63 / $221.06 / $221.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $261.75 / $582.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.57 / $86.57 / $86.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.09 / $395.04 / $654.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.89 / $90.00 / $136.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.00 / $297.07 / $531.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $460.13 / $1,505.50
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.27 / $112.90 / $492.24
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.54 / $344.52 / $1,047.04
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.33 / $317.94 / $341.81
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.83 / $81.54 / $85.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.81 / $238.11 / $255.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $87.81 / $315.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.06 / $414.32 / $654.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.11 / $87.64 / $147.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.39 / $327.42 / $522.14