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New York 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
$109.65 / $128.82 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $125.89 / $354.81
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
$269.15 / $309.03 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $138.04 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $446.68 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $114.82 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $354.81 / $707.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $426.58 / $575.44
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
$316.23 / $676.08 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $147.91 / $380.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $537.03 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $147.91 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $398.11 / $575.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $977.24
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $151.36 / $263.03
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $398.11 / $707.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $891.25
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $123.03 / $223.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $1,023.29
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $151.36 / $275.42
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $398.11 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $954.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $112.20 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $354.81 / $741.31
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $120.23 / $199.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $977.24
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $141.25 / $263.03
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $398.11 / $724.44