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Arizona 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
$39.04 / $94.45 / $118.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $91.29 / $121.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.33 / $66.01 / $90.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $76.26 / $95.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.68 / $54.49 / $68.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $124.31 / $197.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.56 / $87.91 / $138.63
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.11 / $124.11 / $124.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $117.87 / $673.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.03 / $89.83 / $514.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $114.03 / $211.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.87 / $82.95 / $141.75