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Arkansas rates for HCPCS 76100

Radiologic examination, single plane body section (eg, tomography), other than with urography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.01 / $39.47 / $48.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $107.98 / $135.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.47 / $68.59 / $94.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.58 / $119.89 / $133.21
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.85 / $77.89 / $86.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.31 / $124.18 / $165.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.54 / $78.16 / $115.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.35 / $111.52 / $169.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.85 / $82.13 / $116.94