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Michigan rates for HCPCS 74178

Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.18 / $122.18 / $128.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.05 / $436.57 / $661.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.53 / $122.18 / $284.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.50 / $314.38 / $499.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.19 / $332.37 / $332.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.52 / $121.85 / $186.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $445.79 / $569.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.12 / $150.72 / $150.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$397.32 / $397.32 / $397.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.27 / $285.94 / $437.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.46 / $108.46 / $108.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.01 / $507.59 / $831.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.59 / $114.49 / $234.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.52 / $376.64 / $682.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.56 / $122.18 / $128.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.89 / $436.56 / $661.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $118.21 / $233.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.33 / $314.38 / $471.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $230.23 / $378.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.06 / $419.49 / $588.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.23 / $110.04 / $166.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.21 / $312.08 / $476.00