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Indiana rates for HCPCS 74174

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

Facilitymedian $135 · 10th–90th $105$1660%20%10th90th$135Professionalmedian $251 · 10th–90th $98$6170%5%10%10th90th$251$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $134.90 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $138.04 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $331.13 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $117.49 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $104.71 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $489.78 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $467.74 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $114.82 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $380.19 / $707.95