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North Carolina rates for HCPCS 74175

Ct Angiography Abdomen W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.76 / $94.59 / $145.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $317.81 / $765.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.50 / $87.34 / $242.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.49 / $220.00 / $460.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.84 / $102.24 / $180.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.28 / $235.28 / $235.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.83 / $206.67 / $262.43
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$444.34 / $652.00 / $859.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.06 / $98.06 / $98.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.40 / $657.29 / $1,154.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.13 / $140.41 / $252.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.80 / $495.85 / $948.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.60 / $156.00 / $258.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $269.00 / $384.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.60 / $137.60 / $156.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$623.72 / $623.72 / $623.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $284.92 / $517.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.33 / $544.29 / $927.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.89 / $128.62 / $248.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.05 / $424.21 / $717.19
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$625.36 / $785.28 / $785.28
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,194.57 / $3,194.57 / $3,194.57
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.44 / $660.44 / $691.43
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,704.69 / $2,704.69 / $2,704.69