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Illinois 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
$8.91 / $16.22 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $45.71 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $21.88 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $8.13 / $12.30
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $14.79 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $30.20 / $57.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $38.90 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $13.18 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.59 / $24.55 / $134.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $120.23 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $21.38 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $24.55 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.88
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $11.75 / $12.30
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $19.05 / $21.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $38.90 / $144.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $12.02 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.59 / $21.38 / $123.03