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Delaware 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
$86.33 / $112.06 / $225.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $392.47 / $450.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.91 / $87.34 / $132.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.96 / $310.24 / $351.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.54 / $516.91 / $694.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.88 / $98.00 / $155.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.15 / $375.08 / $583.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.49 / $309.49 / $309.49
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.54 / $86.44 / $107.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.20 / $497.36 / $735.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.26 / $102.03 / $202.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.13 / $306.37 / $564.41