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Florida 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
$51.29 / $51.29 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $467.74 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $120.23 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $309.03 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $120.23 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $117.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $457.09 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $107.15 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $338.84 / $741.31
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $117.49 / $117.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $588.84
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $104.71 / $154.88
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $309.03 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $151.36 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $95.50 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $338.84 / $602.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $63.10 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $173.78 / $269.15