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Nebraska rates for HCPCS 74174

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

Facilitymedian $324 · 10th–90th $214$9770%20%10th90th$324Professionalmedian $251 · 10th–90th $95$7240%5%10%10th90th$251$20.0$50.0$100.0$200.0$500.0$1.0K$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
$213.80 / $323.59 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $138.04 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $389.05 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $707.95 / $741.31
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $190.55 / $204.17
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $512.86 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $851.14 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $229.09 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $630.96 / $851.14
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $199.53 / $263.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $549.54 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $354.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $630.96 / $954.99
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $234.42 / $354.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $630.96 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $288.40 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $199.53 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $537.03 / $724.44