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Vermont rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $235.13 / $257.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.87 / $88.14 / $101.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.64 / $150.21 / $158.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.29 / $804.74 / $1,599.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $87.61 / $347.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.44 / $143.44 / $169.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.70 / $296.93 / $804.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.10 / $122.16 / $347.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.81 / $157.76 / $349.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.70 / $296.93 / $804.74
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.91 / $122.16 / $347.27
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.81 / $157.76 / $255.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.20 / $346.04 / $760.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.33 / $128.44 / $329.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $205.86 / $486.63