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Rhode Island rates for HCPCS 74177

Ct Abdomen & Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$553.27 / $553.27 / $769.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.11 / $353.00 / $547.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $94.32 / $441.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.29 / $260.58 / $282.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.75 / $445.59 / $669.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.55 / $123.64 / $170.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.36 / $321.94 / $321.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.44 / $642.97 / $703.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.94 / $165.92 / $185.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.50 / $469.42 / $527.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.80 / $401.98 / $723.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.59 / $115.46 / $182.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.08 / $294.52 / $493.61