go back

Texas rates for HCPCS 74175

Ct Angiography Abdomen W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.80 / $88.43 / $114.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.08 / $316.75 / $624.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.80 / $88.50 / $158.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.59 / $212.80 / $391.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.85 / $521.16 / $521.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.48 / $89.60 / $166.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.30 / $211.34 / $307.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $302.94 / $376.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.63 / $80.63 / $86.67
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
$255.00 / $410.00 / $808.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.56 / $97.23 / $178.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.50 / $306.83 / $618.55
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$625.36 / $785.28 / $801.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.53 / $3,194.57 / $3,194.57
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$660.44 / $660.44 / $691.43
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,625.91 / $2,704.69 / $2,704.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.47 / $451.73 / $1,204.59
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.65 / $136.63 / $331.24
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$283.83 / $360.26 / $873.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $246.50 / $513.79
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.06 / $98.06 / $98.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $433.23 / $860.76
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.20 / $93.42 / $175.19
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.50 / $287.37 / $618.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.08 / $394.10 / $693.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.80 / $92.75 / $165.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.99 / $293.75 / $495.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.51 / $249.57 / $354.06
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.68 / $81.45 / $112.32
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.84 / $177.49 / $1,100.00