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Maine 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
$11.22 / $11.22 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $19.95 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.88 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $13.18 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $20.42 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $54.95 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $13.49 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $33.11 / $141.25
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $37.15 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $14.13 / $26.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $23.99 / $48.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $43.65 / $275.42
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.59 / $32.36
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $26.30 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $36.31 / $97.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $14.13 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.02 / $21.38 / $63.10