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California 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
$87.10 / $169.82 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $478.63 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $125.89 / $338.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $338.84 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $147.91 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $112.20 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $489.78 / $831.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $512.86 / $954.99
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $144.54 / $263.03
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $380.19 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $107.15 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $363.08 / $741.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $467.74
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $95.50 / $128.82
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $251.19 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $109.65 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $331.13 / $588.84
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.69 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $102.33 / $363.08
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $141.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $512.86 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $97.72 / $181.97
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $338.84 / $691.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$295.12 / $295.12 / $295.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$776.25 / $776.25 / $776.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $794.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $89.13 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $316.23 / $616.60