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Oklahoma 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
$101.06 / $139.09 / $159.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $418.32 / $512.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $110.09 / $139.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $308.23 / $421.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.42 / $96.77 / $130.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.60 / $378.35 / $519.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.00 / $165.00 / $165.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.74 / $491.29 / $738.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.60 / $102.70 / $172.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.81 / $359.13 / $606.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$757.60 / $969.20 / $969.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.57 / $479.09 / $2,573.48
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.10 / $111.88 / $653.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.49 / $380.41 / $2,038.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.71 / $444.33 / $731.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.74 / $111.72 / $170.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.67 / $323.50 / $574.80