go back

Missouri rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.32 / $84.65 / $139.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.92 / $366.58 / $1,321.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.09 / $81.59 / $310.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.49 / $253.82 / $1,025.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.56 / $195.19 / $195.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.85 / $68.56 / $104.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.90 / $152.90 / $152.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.40 / $316.39 / $740.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $88.78 / $145.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.22 / $227.18 / $588.16
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
$220.04 / $409.55 / $744.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.77 / $94.96 / $165.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.12 / $317.24 / $607.82
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$478.24 / $619.20 / $619.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.30 / $451.73 / $2,385.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.69 / $95.00 / $533.30
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.34 / $370.03 / $2,603.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.77 / $119.77 / $119.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.97 / $377.90 / $622.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.77 / $83.75 / $153.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.48 / $296.07 / $495.34