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North Dakota rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.22 / $61.23 / $140.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.93 / $197.96 / $442.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.87 / $84.28 / $226.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.70 / $120.64 / $410.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.56 / $453.59 / $475.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.09 / $198.80 / $207.79
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.46 / $254.79 / $267.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.15 / $94.15 / $94.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $355.88 / $491.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.07 / $144.02 / $213.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.22 / $203.00 / $279.39
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$770.72 / $770.72 / $770.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.18 / $383.91 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.52 / $174.94 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $217.20 / $1,308.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.27 / $371.67 / $505.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.14 / $161.12 / $224.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $205.78 / $298.33