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Montana 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 $15 · 10th–90th $15–$180%20%40%90th$15Professionalmedian $27 · 10th–90th $9–$1170%10%10th90th$27$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $48.98 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $10.96 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $29.51 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $14.79 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $34.67 / $102.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $64.57
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $54.95 / $72.44
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $14.79 / $21.38
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $22.39 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $38.02 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $10.00 / $75.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.22 / $20.89 / $91.20