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Missouri rates for HCPCS 74175

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

Facilitymedian $148 · 10th–90th $98$4070%10%20%10th90th$148Professionalmedian $214 · 10th–90th $85$5250%5%10%10th90th$214$20.0$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
$97.72 / $147.91 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $112.20 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $234.42 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $331.13 / $501.19
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $93.33 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $239.88 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $112.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $354.81 / $676.08
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $125.89 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $398.11 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $107.15 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $281.84 / $512.86