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North Carolina 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
$85.11 / $123.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $120.23 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $223.87 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $87.10 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $208.93 / $263.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.11 / $645.65 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $616.60 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $131.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $467.74 / $794.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $302.00 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $512.86 / $831.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $109.65 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $389.05 / $616.60
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $794.33 / $794.33
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53