CT scan of abdomen and pelvis before and after contrast in one or both bodys regions
| 2020 CPT/HCPCS | 74178 |
| Negotiated Private Fee | $550.00 |
| Prossam | $450.00 |
| Champva | $382.73 |
| First Medical | $275.00 |
| First Medical Vital | $168.57 |
| Plan de Salud Menonita | $382.50 |
| Menonita Vital | $255.37 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $427.50 |
| Mapfre | $400.00 |
| Mcs Classicare | $336.00 |
| MCS Life | $378.40 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $381.00 |
| MMM Vital | $301.00 |
| Panamerican Life | Not covered |
| PMC | $338.27 |
| Tricare | $375.39 |
| Triple S Salud | $450.00 |
| Triple S Vital | $217.54 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $217.54 |
| Negotiated Maximus Charge | $450.00 |
| Discounted Cash Price | $440.00 |
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