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Rhode Island rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$527.55 / $527.55 / $734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $213.76 / $322.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.75 / $85.73 / $188.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.97 / $136.56 / $148.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.83 / $270.38 / $458.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.28 / $117.54 / $163.28
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.99 / $152.84 / $152.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.16 / $386.42 / $468.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.29 / $166.02 / $176.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.57 / $220.40 / $243.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.22 / $245.75 / $418.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.77 / $105.99 / $174.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.72 / $145.13 / $199.39