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Wyoming rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.84 / $78.84 / $80.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.30 / $233.08 / $243.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.31 / $83.63 / $312.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.99 / $133.05 / $157.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.00 / $797.00 / $797.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$211.00 / $347.00 / $347.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.00 / $450.00 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.16 / $298.32 / $565.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.49 / $128.69 / $228.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.66 / $169.62 / $313.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $356.82 / $700.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.88 / $160.44 / $273.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.06 / $200.27 / $426.80