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Hawaii rates for HCPCS 74177

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

Facilitymedian $98 · 10th–90th $87$1150%10%20%10th90th$98Professionalmedian $219 · 10th–90th $83$7410%10%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
$87.10 / $97.72 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $389.05 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $263.03 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $104.71 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $288.40 / $416.87
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,000.00
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $154.88 / $162.18
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $691.83 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $102.33 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $295.12 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $489.78 / $2,511.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $138.04 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $363.08 / $1,778.28
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $537.03 / $812.83
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $218.78
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $407.38 / $602.56