go back

Washington rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.53 / $117.01 / $217.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $410.67 / $725.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.39 / $83.00 / $177.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.09 / $336.80 / $541.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.43 / $410.60 / $750.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.38 / $113.22 / $176.12
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.01 / $342.01 / $342.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$619.20 / $619.20 / $619.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.61 / $676.36 / $2,385.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.48 / $161.96 / $543.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.45 / $516.24 / $2,603.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.37 / $519.66 / $902.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.87 / $120.47 / $208.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.05 / $425.54 / $723.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $149.32 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.48 / $581.04 / $1,049.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.41 / $140.84 / $181.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.99 / $454.29 / $863.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.29 / $209.81 / $522.64
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.73 / $129.41 / $134.00
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.65 / $239.65 / $239.65
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.63 / $117.41 / $150.69
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.02 / $367.88 / $595.02
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.57 / $89.57 / $89.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.06 / $635.42 / $768.26
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.20 / $153.84 / $186.59
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.55 / $481.10 / $581.66
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.92 / $558.44 / $766.73
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.48 / $135.63 / $183.94
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.45 / $423.03 / $573.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.81 / $372.10 / $779.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.87 / $78.29 / $196.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.76 / $304.70 / $625.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.43 / $285.43 / $285.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.62 / $68.62 / $68.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.81 / $216.81 / $216.81