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Hawaii rates for HCPCS 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $98 · 10th–90th $85$1150%10%20%10th90th$98Professionalmedian $219 · 10th–90th $83$7240%5%10%10th90th$219$20.0$50.0$100.0$200.0$500.0$1.0K$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
$85.11 / $97.72 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $97.72 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $309.03 / $489.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $891.25
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $120.23 / $125.89
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $616.60 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $102.33 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $134.90 / $660.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $426.58 / $912.01
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $537.03 / $891.25
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $128.82 / $194.98
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $436.52 / $724.44