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Iowa rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.28 / $126.71 / $266.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $222.37 / $951.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.06 / $89.34 / $368.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.63 / $136.56 / $436.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$254.18 / $261.81 / $269.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.21 / $449.39 / $605.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.07 / $186.94 / $233.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.99 / $248.22 / $358.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.62 / $244.34 / $1,030.66
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.52 / $109.92 / $326.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.10 / $135.37 / $606.52
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$598.00 / $770.72 / $770.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.23 / $337.34 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.12 / $110.84 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.60 / $143.82 / $1,308.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$261.81 / $269.43 / $457.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.46 / $408.18 / $632.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.06 / $168.51 / $309.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.78 / $245.32 / $429.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.12 / $106.97 / $193.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.50 / $134.47 / $235.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.37 / $358.70 / $422.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.19 / $157.19 / $185.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.19 / $201.50 / $237.10