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North Carolina 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
$83.00 / $91.93 / $134.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.64 / $341.58 / $1,407.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.84 / $108.17 / $323.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.00 / $260.57 / $674.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.01 / $557.22 / $772.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.44 / $133.30 / $218.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.15 / $272.17 / $276.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.88 / $214.03 / $265.41
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.10 / $499.62 / $682.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.40 / $98.40 / $98.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.73 / $535.88 / $899.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.43 / $143.21 / $249.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.28 / $387.58 / $652.67
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.90 / $129.90 / $247.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $273.00 / $424.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.90 / $129.90 / $129.90
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$834.07 / $834.07 / $834.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.49 / $281.33 / $465.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.02 / $455.25 / $858.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.35 / $123.61 / $246.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.07 / $320.49 / $617.73
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$630.16 / $791.44 / $791.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.84 / $2,569.28 / $2,569.28
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$547.02 / $697.13 / $697.13
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,614.00 / $2,614.00 / $2,614.00