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Maine rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $100 · 10th–90th $93$6310%50%10th90th$100Professionalmedian $141 · 10th–90th $78$3240%10%10th90th$141$20.0$100.0$500.0$2.0K$10.0K

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
$93.33 / $112.20 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $128.82 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $151.36 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $281.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $114.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $169.82 / $331.13
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $398.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $120.23 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $158.49 / $295.12
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $100.00 / $11,220.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $251.19 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $107.15 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $141.25 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $302.00 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $125.89 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $154.88 / $309.03