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Pennsylvania 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
$63.10 / $123.03 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $93.33 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $257.04 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $67.61 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $165.96 / $251.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $85.11 / $162.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $263.03 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.22 / $75.86 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $83.18 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $309.03 / $575.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $416.87
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $85.11 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $245.47 / $309.03
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $645.65
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $79.43 / $144.54
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $257.04 / $512.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $331.13 / $407.38
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $77.62 / $100.00
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $354.81 / $354.81
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $114.82 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $812.83
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $89.13 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $281.84 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $323.59 / $512.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $75.86 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $245.47 / $371.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $66.07 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $173.78 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $537.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $72.44 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $251.19 / $446.68