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Minnesota 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
$97.72 / $104.71 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $141.25 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $346.74 / $616.60
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $245.47 / $371.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $707.95 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $331.13 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $562.34 / $912.01
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $363.08 / $707.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $933.25
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $239.88
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $436.52 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $269.15 / $776.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $549.54 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $724.44 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $537.03 / $933.25