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Maryland rates for HCPCS 74175

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

Facilitymedian $89 · 10th–90th $74$1000%20%10th90th$89Professionalmedian $219 · 10th–90th $83$5620%5%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
$74.13 / $89.13 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $354.81 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $114.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $223.87 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $398.11 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $120.23
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $309.03 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $331.13 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $95.50 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $275.42 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $398.11 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $97.72 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $295.12 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $91.20 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $208.93 / $295.12