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Hawaii rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $58 · 10th–90th $51$680%20%40%10th90th$58Professionalmedian $120 · 10th–90th $50$4170%5%10%10th90th$120$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $57.54 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $208.93 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $56.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $117.49 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $213.80 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $64.57 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $158.49 / $234.42
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $426.58
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $74.13 / $77.62
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $60.26 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $112.20 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $309.03 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $87.10 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $194.98 / $758.58
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $501.19
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $79.43 / $123.03
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $234.42 / $398.11