go back

Wyoming 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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $114.82 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $257.04 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.44 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $181.97 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $446.68 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $162.18 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $446.68 / $1,258.93