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Wyoming 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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $70.79 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $117.49 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $117.49 / $281.84