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Pennsylvania 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
$100.00 / $186.21 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $141.25 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $354.81 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $107.15 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $257.04 / $416.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $912.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $134.90 / $208.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $338.84 / $851.14
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
$331.13 / $588.84 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $125.89 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $457.09 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $645.65
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $134.90 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $380.19 / $478.63
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $977.24
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $114.82 / $218.78
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $380.19 / $724.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $512.86
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $125.89 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $173.78 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $138.04 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $398.11 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $602.56 / $1,023.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $95.50 / $102.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $691.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $102.33 / $107.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $281.84 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $114.82 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $363.08 / $602.56