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New Jersey 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
$81.28 / $138.04 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $501.19 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $354.81 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $97.72 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $257.04 / $257.04
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $269.15 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $575.44 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $131.83 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $446.68 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $741.31
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $138.04 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $398.11 / $549.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $812.83
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $104.71 / $181.97
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $309.03 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $117.49 / $204.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $389.05 / $691.83