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Arkansas rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.48 / $126.35 / $364.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $275.87 / $345.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.75 / $108.79 / $213.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.64 / $149.52 / $212.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $283.55 / $313.06
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.50 / $132.61 / $151.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.04 / $156.83 / $172.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.37 / $257.26 / $285.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.49 / $118.44 / $131.60
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.88 / $138.82 / $154.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $116.70 / $212.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.61 / $281.51 / $388.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.84 / $118.67 / $177.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.57 / $154.86 / $215.63
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.08 / $326.08 / $360.02
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.21 / $157.41 / $193.20
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.68 / $180.35 / $197.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $252.28 / $375.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.27 / $104.16 / $160.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.21 / $144.01 / $205.27