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Idaho rates for HCPCS 74175

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

Facilitymedian $123 · 10th–90th $112–$2400%50%10th90th$123Professionalmedian $245 · 10th–90th $87–$5500%5%10th90th$245$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$112.20 / $123.03 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $281.84 / $416.87
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $162.18 / $223.87
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $331.13 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,380.38
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $691.83 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $229.09 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $575.44 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $165.96 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $173.78 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $467.74 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $831.76
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $190.55
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $229.09 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $95.50 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $338.84 / $588.84