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Vermont rates for HCPCS 74175

Ct Angiography Abdomen W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.81 / $409.05 / $519.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.23 / $96.08 / $112.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.56 / $322.32 / $407.11
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$559.01 / $559.01 / $559.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.38 / $1,358.03 / $1,599.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.03 / $140.31 / $360.17
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.54 / $455.54 / $536.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.36 / $722.50 / $1,358.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.05 / $127.25 / $360.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.32 / $339.45 / $891.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.36 / $661.75 / $1,358.03
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.05 / $127.25 / $360.17
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$290.32 / $339.45 / $613.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.42 / $740.96 / $1,233.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.60 / $128.21 / $383.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.67 / $544.97 / $1,061.46