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Delaware 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
$30.58 / $35.90 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $95.79 / $95.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.76 / $69.26 / $69.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $109.40 / $163.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.20 / $76.52 / $113.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $99.25 / $218.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.47 / $74.23 / $151.58