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Florida rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $147.90 / $4,512.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $205.57 / $371.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $85.15 / $237.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.05 / $120.64 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.03 / $144.54 / $286.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.38 / $83.02 / $169.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.70 / $89.10 / $112.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.15 / $94.15 / $253.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.96 / $245.56 / $436.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.76 / $95.10 / $179.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.63 / $137.75 / $257.55
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.57 / $92.57 / $92.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.80 / $217.58 / $275.26
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.80 / $91.41 / $121.50
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.01 / $124.47 / $154.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $125.08 / $247.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.44 / $186.26 / $352.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.98 / $76.12 / $155.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.44 / $110.20 / $202.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.55 / $119.55 / $119.55
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.81 / $51.81 / $51.81
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.73 / $67.73 / $67.73