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Virginia rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.87 / $100.07 / $188.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.94 / $270.16 / $451.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.06 / $71.20 / $125.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.15 / $198.97 / $361.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $313.27 / $486.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.23 / $75.20 / $116.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.69 / $236.27 / $376.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.22 / $376.61 / $1,240.23
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.45 / $81.53 / $95.50
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.89 / $295.77 / $375.63
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
$226.68 / $425.44 / $731.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.57 / $87.08 / $160.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.32 / $338.85 / $564.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.33 / $304.00 / $372.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.00 / $72.88 / $88.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.34 / $233.20 / $285.79
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.34 / $148.16 / $240.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $323.00 / $647.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.06 / $392.24 / $707.64
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.64 / $93.52 / $148.08
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.40 / $335.57 / $507.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.71 / $365.16 / $622.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.06 / $85.65 / $129.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.61 / $276.17 / $501.86