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Arizona rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.51 / $159.07 / $307.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $225.19 / $594.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.44 / $91.97 / $302.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.95 / $136.56 / $279.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.15 / $163.13 / $203.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.37 / $94.94 / $135.56
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.85 / $108.85 / $108.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.01 / $206.86 / $258.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.79 / $81.83 / $102.29
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.40 / $125.03 / $156.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.15 / $94.15 / $94.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.76 / $248.74 / $425.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.72 / $104.11 / $172.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.52 / $144.57 / $245.43
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$770.72 / $770.72 / $770.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $205.17 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.43 / $86.20 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.93 / $124.96 / $1,308.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $202.68 / $382.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.15 / $80.20 / $161.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.93 / $121.61 / $221.14