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New Jersey rates for HCPCS 74177

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

Facilitymedian $115 · 10th–90th $69$6610%10%10th90th$115Professionalmedian $182 · 10th–90th $81$5130%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
$69.18 / $114.82 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $263.03 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $151.36
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $616.60 / $616.60
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $588.84
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $316.23 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $707.95
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $109.65 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $302.00 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $114.82 / $138.04
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $316.23 / $371.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $562.34
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $87.10 / $144.54
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $245.47 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $380.19 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $281.84 / $501.19