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New York rates for HCPCS 74170

Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.90 / $81.81 / $179.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.30 / $361.75 / $695.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.55 / $74.53 / $155.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.65 / $287.39 / $494.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $196.45 / $261.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.06 / $62.30 / $72.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.84 / $308.29 / $832.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.65 / $76.56 / $157.37
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.18 / $220.85 / $601.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.12 / $244.25 / $340.37
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
$222.84 / $495.97 / $1,310.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.76 / $92.12 / $205.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.68 / $381.39 / $1,029.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.76 / $348.05 / $594.77
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.05 / $84.91 / $148.41
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.03 / $244.60 / $445.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.75 / $370.42 / $513.00
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.03 / $94.94 / $138.35
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.91 / $275.97 / $372.34
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.84 / $254.84 / $271.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.63 / $323.05 / $566.91
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.41 / $86.52 / $158.10
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.64 / $75.64 / $75.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.21 / $407.65 / $1,023.69
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.21 / $91.09 / $198.80
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.12 / $303.29 / $795.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.71 / $338.90 / $766.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.81 / $72.45 / $160.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.44 / $254.38 / $612.58
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.18 / $77.18 / $225.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.28 / $402.15 / $656.40
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.03 / $101.56 / $180.84
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.30 / $300.27 / $475.57