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Massachusetts rates for HCPCS 74177

Ct Abdomen & Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.81 / $67.81 / $251.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.11 / $353.79 / $846.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.81 / $89.79 / $252.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.29 / $260.58 / $756.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$202.61 / $630.16 / $791.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.48 / $468.06 / $2,077.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.42 / $125.46 / $547.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.60 / $358.02 / $2,614.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $633.66 / $1,082.17
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.31 / $162.02 / $218.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.65 / $514.62 / $1,033.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.86 / $128.86 / $263.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.45 / $379.51 / $767.78
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $328.69 / $587.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.42 / $752.84 / $984.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.68 / $210.77 / $276.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.75 / $539.98 / $708.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.19 / $195.44 / $665.55
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$630.16 / $791.44 / $791.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.39 / $481.34 / $2,077.84
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $125.71 / $547.02
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.63 / $358.38 / $2,614.00
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.53 / $326.23 / $584.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.39 / $462.08 / $843.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.60 / $120.84 / $248.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.92 / $351.98 / $812.73