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Connecticut rates for HCPCS 74177

Computed tomography, abdomen and pelvis; with contrast material(s)

Facilitymedian $331 · 10th–90th $148$4070%10%10th90th$331Professionalmedian $182 · 10th–90th $81$6460%10%10th90th$182$10.0$50.0$200.0$1.0K$5.0K

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
$147.91 / $331.13 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $1,659.59
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
$199.53 / $263.03 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $158.49 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $478.63 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $128.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $389.05 / $724.44
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $549.54
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $147.91
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $331.13 / $398.11
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $302.00 / $707.95