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Alaska rates for HCPCS 74174

Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$331.13 / $457.09 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $131.83 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $354.81 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.17 / $295.12 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$645.65 / $831.76 / $1,047.13
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$380.19 / $457.09 / $1,258.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $302.00 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $741.31 / $1,202.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $2,454.71
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$389.05 / $416.87 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,023.29 / $1,174.90 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $275.42 / $380.19
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $676.08 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,412.54 / $3,467.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $457.09 / $1,122.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$676.08 / $954.99 / $2,344.23