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West Virginia 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
$89.13 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $91.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $213.80 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $588.84 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $120.23 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $446.68 / $1,412.54
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $147.91 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $104.71 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $398.11 / $707.95