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Delaware rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.63 / $107.27 / $217.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.05 / $196.84 / $538.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.87 / $88.14 / $183.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.08 / $120.64 / $181.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $253.05 / $354.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.18 / $97.44 / $149.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.94 / $155.61 / $199.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.32 / $239.32 / $260.02
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.72 / $103.30 / $139.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.62 / $237.50 / $454.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.18 / $98.06 / $194.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.23 / $145.11 / $251.86