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Wyoming rates for HCPCS 74170

Ct Abdomen W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $63.10 / $64.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.68 / $307.99 / $466.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.45 / $67.15 / $149.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.22 / $218.42 / $399.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.00 / $1,151.00 / $1,151.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$168.00 / $276.00 / $276.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$533.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.45 / $513.67 / $879.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.34 / $115.44 / $200.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.24 / $403.02 / $694.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.44 / $533.53 / $1,294.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.49 / $126.13 / $216.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.10 / $408.16 / $1,077.99