go back

Oklahoma 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
$22.60 / $29.14 / $166.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $83.15 / $95.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.58 / $56.44 / $69.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $38.93 / $119.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.63 / $26.63 / $42.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $97.96 / $155.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.31 / $70.04 / $110.13
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.91 / $124.11 / $124.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.36 / $115.15 / $673.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.99 / $87.89 / $514.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.26 / $99.25 / $155.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.24 / $73.54 / $108.65