go back

Rhode Island rates for HCPCS 74175

Ct Angiography Abdomen W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$548.90 / $548.90 / $763.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.04 / $392.47 / $475.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.08 / $87.35 / $130.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.96 / $310.24 / $373.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.45 / $390.51 / $813.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.87 / $122.67 / $177.86
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.49 / $267.83 / $267.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.87 / $647.55 / $706.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.02 / $163.86 / $183.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.64 / $474.83 / $561.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.93 / $453.76 / $646.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.47 / $106.61 / $181.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.81 / $336.15 / $546.86