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Utah 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
$77.62 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $114.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $281.84 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $316.23 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $123.03 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $363.08 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $575.44
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $134.90 / $162.18
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $245.47 / $371.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $309.03 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $562.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $61.66 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $234.42 / $426.58