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Hawaii 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

Facilitymedian $11 · 10th–90th $9$130%10%20%10th90th$11Professionalmedian $25 · 10th–90th $10$1740%5%10th90th$25$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.33 / $10.72 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.59 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $19.95 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $12.02 / $17.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $26.92 / $87.10
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $69.18 / $75.86
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $12.88 / $14.45
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $53.70 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $11.48 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $21.88 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $20.89 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $30.20 / $141.25
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $218.78
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.45 / $23.99
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $35.48 / $199.53