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Missouri rates for HCPCS 76100

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

Facilitymedian $62 · 10th–90th $24$850%20%10th90th$62Professionalmedian $79 · 10th–90th $51$1450%10%10th90th$79$5.0$20.0$100.0$500.0

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
$23.99 / $61.66 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $107.15 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $69.18 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $93.33 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $64.57 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $85.11 / $162.18
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $676.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $93.33 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $109.65 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $74.13 / $125.89