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Montana rates for HCPCS 74175

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

Facilitymedian $135 · 10th–90th $135$1660%20%40%90th$135Professionalmedian $282 · 10th–90th $87$6760%5%10th90th$282$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $131.83 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $316.23 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $134.90 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $645.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $812.83
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $851.14
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $194.98
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $85.11 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $338.84 / $512.86