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Alabama rates for HCPCS 74175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $120.23 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $223.87 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $89.13 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $436.52 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $131.83 / $169.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $309.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $109.65 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $323.59 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $251.19 / $562.34