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Ohio 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
$67.06 / $93.88 / $230.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.30 / $299.11 / $587.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.68 / $70.78 / $188.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.43 / $214.05 / $443.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.04 / $195.19 / $206.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.91 / $60.63 / $108.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.75 / $240.75 / $240.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.05 / $299.72 / $520.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.05 / $78.80 / $141.06
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.00 / $224.20 / $379.14
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.48 / $279.48 / $279.48
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.18 / $73.18 / $73.18
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.29 / $206.29 / $206.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $220.71 / $331.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.53 / $75.64 / $75.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.16 / $374.76 / $746.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.49 / $89.20 / $150.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.99 / $286.51 / $557.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.53 / $68.53 / $75.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.16 / $372.77 / $705.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.01 / $93.31 / $173.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.99 / $279.72 / $554.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.67 / $175.33 / $297.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.54 / $333.19 / $582.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.07 / $80.89 / $146.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.83 / $248.78 / $448.92