go back

Tennessee 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
$54.95 / $102.33 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $51.29 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $91.20 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $30.20 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $104.71 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $38.90 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $91.20 / $194.98
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $251.19 / $251.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $223.87 / $223.87
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.78 / $630.96 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $32.36 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $81.28 / $141.25