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Wisconsin rates for HCPCS 74174

Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $282 · 10th–90th $200$5370%20%10th90th$282Professionalmedian $324 · 10th–90th $98$1,2020%5%10th90th$324$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $218.78 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $169.82 / $794.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $354.81 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $158.49 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,659.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $338.84 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $912.01 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $245.47 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $741.31 / $1,174.90
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $851.14 / $1,148.15
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $229.09 / $309.03
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $616.60 / $794.33
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $851.14 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $245.47 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $660.69 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $602.56
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $891.25 / $1,412.54
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $245.47 / $389.05
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $724.44 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $912.01 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $954.99 / $954.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,949.84 / $2,570.40
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $537.03 / $660.69
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $1,412.54 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,238.72 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $398.11 / $588.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$758.58 / $891.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,412.54 / $3,019.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $416.87 / $794.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $549.54 / $1,122.02