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Texas rates for HCPCS 74261

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.06 / $117.37 / $151.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.39 / $247.94 / $380.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.00 / $114.96 / $176.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.53 / $119.70 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.14 / $326.14 / $326.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.52 / $86.52 / $106.76
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.52 / $222.52 / $222.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.60 / $201.61 / $303.57
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.03 / $347.68 / $449.66
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.07 / $107.07 / $114.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.66 / $129.66 / $129.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $462.09 / $916.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.23 / $120.55 / $225.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.35 / $349.09 / $700.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$830.40 / $1,043.04 / $1,061.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.25 / $1,915.39 / $1,992.01
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$717.76 / $717.76 / $918.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,344.20 / $1,435.54 / $1,492.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.78 / $606.50 / $1,007.36
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.97 / $181.47 / $439.92
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$382.66 / $485.68 / $1,177.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.10 / $1,015.90 / $1,224.09
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.66 / $129.66 / $129.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.00 / $508.60 / $1,140.07
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.00 / $116.16 / $215.32
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.30 / $339.97 / $691.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.33 / $485.04 / $824.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.16 / $122.70 / $208.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.76 / $363.60 / $615.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $208.72 / $293.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.86 / $108.15 / $149.19
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.83 / $106.18 / $1,100.00