go back

New Jersey 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
$93.33 / $389.05 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $109.65 / $295.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $229.09 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $75.86 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $467.74 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $109.65 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $354.81 / $676.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $112.20 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $257.04 / $354.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $630.96
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $87.10 / $147.91
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $190.55 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $100.00 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $309.03 / $549.54