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Kansas rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.40 / $127.23 / $173.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $230.67 / $286.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.14 / $102.27 / $171.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.71 / $128.97 / $181.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.90 / $134.34 / $287.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.91 / $61.05 / $87.56
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.43 / $119.31 / $119.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.04 / $436.04 / $436.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.19 / $277.41 / $353.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.31 / $117.07 / $155.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.19 / $158.80 / $213.35
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
$205.17 / $272.56 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.38 / $121.60 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.81 / $154.21 / $1,308.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.18 / $237.01 / $363.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.14 / $102.67 / $153.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $134.80 / $200.91