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Utah rates for HCPCS 74174

Ct Angio Abd&Plvis Cntrst Mtrl W/Wo Cntrst Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.29 / $116.29 / $116.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.45 / $584.98 / $2,287.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.92 / $124.15 / $389.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.45 / $468.70 / $660.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.57 / $603.28 / $1,020.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.52 / $136.74 / $264.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.50 / $482.95 / $720.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $235.74 / $362.92
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$669.98 / $669.98 / $669.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.49 / $666.77 / $1,050.94
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.19 / $177.60 / $236.64
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$428.30 / $495.19 / $824.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.71 / $477.10 / $820.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.70 / $106.29 / $186.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.61 / $387.57 / $713.79