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Maryland rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $54 · 10th–90th $44$600%20%40%10th90th$54Professionalmedian $91 · 10th–90th $47$2950%10%10th90th$91$5.0$20.0$100.0$500.0$2.0K

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
$43.65 / $53.70 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $54.95 / $158.49
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $331.13 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $131.83 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $169.82 / $218.78
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $75.86
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $123.03 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $234.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $158.49 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $158.49 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $56.23 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $102.33 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $58.88 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $131.83 / $288.40
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $53.70 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $97.72 / $141.25