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Virginia 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
$92.32 / $116.44 / $358.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.68 / $397.25 / $652.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $110.90 / $199.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.12 / $288.64 / $492.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.87 / $460.20 / $696.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.29 / $115.89 / $181.14
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.52 / $339.55 / $519.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.54 / $546.03 / $3,438.15
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.93 / $114.93 / $145.96
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$411.35 / $431.10 / $547.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.52 / $118.52 / $118.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.65 / $626.54 / $1,070.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.87 / $136.30 / $230.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.95 / $482.95 / $784.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.91 / $445.10 / $545.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.35 / $115.31 / $138.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.57 / $333.08 / $408.19
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.31 / $253.47 / $378.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $441.00 / $768.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $584.52 / $947.94
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.64 / $143.41 / $229.73
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.68 / $462.51 / $689.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.39 / $530.39 / $916.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.70 / $130.56 / $201.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.40 / $387.75 / $730.45