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Delaware rates for HCPCS 74177

Computed tomography, abdomen and pelvis; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.99 / $227.77 / $2,494.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.75 / $335.77 / $516.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.45 / $114.98 / $272.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.91 / $247.12 / $382.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.49 / $399.06 / $587.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.04 / $102.19 / $156.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.44 / $296.87 / $432.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.74 / $310.29 / $403.95
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.75 / $110.65 / $887.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.91 / $365.63 / $731.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.09 / $101.84 / $207.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.34 / $276.83 / $536.65