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Nevada 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
$102.33 / $102.33 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $95.50 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $223.87 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $66.07 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $83.18 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $223.87 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $100.00 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $338.84 / $588.84
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $338.84 / $446.68
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.81 / $100.00 / $134.90
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $234.42 / $316.23
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $389.05
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.81 / $0.81 / $123.03
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $151.36 / $269.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $83.18
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $275.42 / $537.03