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California rates for HCPCS 74175

Ct Angiography Abdomen W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.35 / $91.40 / $525.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $438.48 / $1,565.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.23 / $94.04 / $342.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.33 / $351.12 / $762.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.28 / $561.28 / $561.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.86 / $97.12 / $192.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.77 / $541.59 / $1,020.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.76 / $108.90 / $220.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.52 / $436.24 / $825.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.46 / $388.69 / $933.39
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.25 / $108.80 / $264.04
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.40 / $280.82 / $661.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.06 / $98.06 / $98.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $494.55 / $991.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.65 / $103.87 / $240.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.24 / $365.32 / $761.73
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.18 / $346.68 / $468.02
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $94.87 / $128.07
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.57 / $251.82 / $339.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.23 / $400.78 / $712.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.13 / $113.84 / $180.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.13 / $357.20 / $579.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$785.28 / $785.28 / $801.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.53 / $3,194.57 / $3,194.57
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.44 / $660.44 / $691.43
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,625.91 / $2,704.69 / $2,704.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $214.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.06 / $98.06 / $98.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.83 / $561.25 / $923.18
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.03 / $100.99 / $225.70
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.76 / $365.29 / $733.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.71 / $1,078.71 / $1,078.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$294.82 / $294.82 / $294.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$783.89 / $783.89 / $783.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.37 / $385.51 / $471.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.16 / $414.54 / $885.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.90 / $95.50 / $218.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.32 / $314.43 / $716.52