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Montana rates for HCPCS 74177

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

Facilitymedian $282 · 10th–90th $87$3550%20%40%10th90th$282Professionalmedian $182 · 10th–90th $81$6460%10%20%10th90th$182$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $107.15 / $338.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $323.59 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $131.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $354.81 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $537.03 / $812.83
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $134.90 / $199.53
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $354.81 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $323.59 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $85.11 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $234.42 / $457.09