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Arizona 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
$13.19 / $29.39 / $39.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.83 / $65.34 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.83 / $10.39 / $54.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.01 / $56.50 / $109.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $22.42 / $25.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.71 / $8.94 / $21.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.09 / $27.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.51 / $7.44 / $10.01
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.82 / $14.65 / $18.30
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.80 / $10.80 / $10.80
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $38.86 / $145.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.95 / $11.70 / $20.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.17 / $25.92 / $124.56
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.00 / $132.00 / $132.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$53.18 / $53.18 / $53.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $61.23 / $761.56
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.39 / $10.11 / $132.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.35 / $48.31 / $705.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $42.24 / $95.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.39 / $9.10 / $18.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.35 / $23.50 / $79.23