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West Virginia rates for HCPCS 74177

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

Facilitymedian $91 · 10th–90th $89$3020%50%10th90th$91Professionalmedian $182 · 10th–90th $81$4470%10%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $91.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $257.04 / $691.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $302.00 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $398.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $1,023.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $151.36 / $229.09
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $407.38 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $269.15 / $478.63