go back

Maryland rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.29 / $96.21 / $141.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.30 / $221.82 / $867.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.30 / $89.51 / $285.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.90 / $136.56 / $564.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.65 / $278.50 / $365.95
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.48 / $90.48 / $117.62
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.87 / $188.02 / $250.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.31 / $265.24 / $510.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.02 / $100.02 / $194.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.92 / $160.38 / $293.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $239.04 / $339.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.59 / $99.82 / $181.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.95 / $139.21 / $270.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.76 / $203.18 / $351.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.09 / $83.62 / $146.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.67 / $123.03 / $205.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $207.86 / $270.22
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.20 / $86.80 / $112.84
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.71 / $121.05 / $154.76