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Delaware 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
$104.52 / $135.68 / $272.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.45 / $512.36 / $649.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.25 / $105.85 / $261.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.45 / $421.11 / $492.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.99 / $618.46 / $832.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.98 / $121.13 / $187.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.89 / $471.84 / $647.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.14 / $385.14 / $502.98
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.97 / $130.65 / $133.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.12 / $561.29 / $921.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.75 / $133.74 / $244.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.31 / $459.97 / $820.50