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Mississippi 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
$24.55 / $24.55 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $89.13 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $61.66 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $123.03 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $83.18 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $70.79 / $123.03