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Hawaii rates for HCPCS 74174

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

Facilitymedian $117 · 10th–90th $102$1380%20%40%10th90th$117Professionalmedian $309 · 10th–90th $95$7940%5%10th90th$309$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
$102.33 / $117.49 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $114.82 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $309.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $125.89 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $457.09 / $588.84
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $891.25
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $138.04 / $144.54
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
$426.58 / $501.19 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $123.03 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $380.19 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $812.83 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $151.36 / $851.14
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $602.56 / $1,122.02
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $933.25
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $147.91 / $263.03
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $537.03 / $776.25