go back

Alaska rates for HCPCS 76376

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.46 / $29.46 / $29.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $80.69 / $94.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.83 / $10.31 / $41.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.43 / $56.50 / $70.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $52.78 / $80.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.23 / $30.34 / $34.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.80 / $36.90 / $126.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $74.73 / $159.34
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.65 / $27.77 / $68.75
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.51 / $47.55 / $90.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.25 / $102.00 / $145.28
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.00 / $39.20 / $63.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.10 / $63.45 / $85.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.34 / $84.50 / $145.28
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.00 / $42.00 / $62.58
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.25 / $58.75 / $86.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $86.44 / $212.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.35 / $41.61 / $80.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.52 / $44.53 / $147.41