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Mississippi 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
$97.72 / $100.00 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $97.72 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $218.78 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $501.19 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $134.90 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $354.81 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $831.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $100.00 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $269.15 / $660.69