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Delaware rates for HCPCS 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.54 / $30.90 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $34.67 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $74.13 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $30.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $81.28 / $147.91
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $30.20 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $77.62 / $158.49