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Minnesota rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.28 / $84.28 / $142.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.59 / $227.65 / $1,244.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.45 / $107.89 / $295.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.63 / $128.99 / $307.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.09 / $69.09 / $69.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.52 / $544.54 / $660.46
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.66 / $236.00 / $286.24
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.89 / $308.54 / $374.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.67 / $286.66 / $689.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.49 / $361.58 / $675.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.44 / $155.33 / $266.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.84 / $206.25 / $416.36
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.16 / $252.74 / $543.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.70 / $367.74 / $607.96
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.31 / $152.88 / $246.90
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.40 / $209.76 / $378.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.66 / $426.78 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.97 / $205.80 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.55 / $208.94 / $1,308.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.18 / $361.38 / $640.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.14 / $157.19 / $272.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $197.34 / $377.79