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New Mexico rates for HCPCS 74176

Computed tomography, abdomen and pelvis; without contrast material

Facilitymedian $135 · 10th–90th $112$1480%20%10th90th$135Professionalmedian $129 · 10th–90th $78$3630%10%10th90th$129$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
$112.20 / $134.90 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $229.09 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $91.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $128.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $128.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $109.65 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $162.18 / $239.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $331.13 / $512.86
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $109.65 / $154.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $162.18 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $87.10 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $239.88