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Wisconsin rates for HCPCS 74175

Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $200 · 10th–90th $166$7940%10%20%10th90th$200Professionalmedian $275 · 10th–90th $87$9550%5%10th90th$275$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $229.09 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $346.74 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $851.14 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $199.53 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $616.60 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $190.55 / $257.04
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $489.78 / $676.08
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $741.31 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $190.55 / $660.69
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $562.34 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $776.25 / $1,148.15
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $199.53 / $323.59
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $588.84 / $933.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $776.25 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $794.33 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,778.28 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $446.68 / $660.69
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $1,479.11 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,659.59 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $302.00 / $512.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $758.58 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,071.52 / $2,454.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $398.11 / $660.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $446.68 / $912.01