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Oklahoma rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.05 / $108.47 / $126.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $201.12 / $243.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $88.14 / $110.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.66 / $120.64 / $136.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.40 / $233.79 / $233.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.24 / $65.06 / $103.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.59 / $117.59 / $172.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $184.10 / $252.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.63 / $132.63 / $132.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.05 / $193.79 / $312.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.59 / $81.78 / $137.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.92 / $112.92 / $186.84
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
$176.77 / $221.38 / $1,217.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $89.38 / $521.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.55 / $124.96 / $1,308.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.77 / $205.17 / $327.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $89.14 / $133.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.55 / $117.46 / $197.87