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North Carolina 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
$104.71 / $117.49 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $489.78 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $141.25 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $354.81 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $107.15 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $257.04 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$158.49 / $257.04 / $316.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.44 / $794.33 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $117.49 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $741.31 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $158.49 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $549.54 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $346.74 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $138.04 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $467.74 / $776.25
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$954.99 / $954.99 / $954.99
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,235.94
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $831.76
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,398.83