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Massachusetts 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
$67.61 / $147.91 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $389.05 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $239.88 / $562.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $346.74 / $794.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $524.81 / $3,162.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $120.23 / $660.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $436.52 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $165.96 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $575.44 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $123.03 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $446.68 / $776.25
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $346.74 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $131.83 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $363.08 / $645.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $138.04 / $489.78
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $346.74 / $794.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $524.81 / $3,162.28
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $120.23 / $660.69
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $407.38 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $933.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $120.23 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $380.19 / $724.44