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Idaho 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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $45.71 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $10.96 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $26.92 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.77 / $66.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $17.78 / $24.55
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $28.84 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $14.45 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $21.88 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.12 / $25.12 / $25.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $18.62 / $28.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.20 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $19.95 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $109.65
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $18.62 / $23.44
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $30.20 / $91.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $134.90
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $19.50
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $15.14 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $39.81 / $125.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $10.72 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.22 / $22.91 / $104.71