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Wyoming 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
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $47.86 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $85.11 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $407.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $194.98 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $57.54 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $134.90 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $190.55 / $316.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $52.48 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $138.04 / $223.87