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Michigan rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.06 / $85.06 / $89.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.67 / $366.58 / $634.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.39 / $84.60 / $138.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.46 / $306.18 / $502.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.19 / $240.59 / $240.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.67 / $62.30 / $124.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $333.97 / $471.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.73 / $104.39 / $104.39
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$315.83 / $315.83 / $315.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $227.27 / $335.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.64 / $75.64 / $75.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.93 / $430.10 / $788.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.76 / $82.33 / $164.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.99 / $313.87 / $567.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.80 / $85.06 / $89.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.93 / $327.83 / $521.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.80 / $82.56 / $129.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.06 / $273.05 / $382.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $164.14 / $265.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.58 / $327.73 / $534.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.01 / $73.40 / $115.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.10 / $251.64 / $422.96