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Maryland rates for HCPCS 74177

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

Facilitymedian $102 · 10th–90th $74$3020%20%10th90th$102Professionalmedian $178 · 10th–90th $81$5750%10%10th90th$178$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
$74.13 / $102.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $95.50 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $288.40 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $100.00 / $117.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $316.23 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $302.00 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $95.50 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $263.03 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $95.50 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $269.15 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $91.20 / $131.83
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $257.04 / $371.54