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New Hampshire 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 $9$380%20%10th90th$15Professionalmedian $24 · 10th–90th $10$740%5%10th90th$24$2.0$10.0$50.0$200.0

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 / $15.49 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.00 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $25.12 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $11.75 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $14.79 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $25.70 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.60 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $33.11 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $38.90 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.49 / $25.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $29.51 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $14.79 / $28.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $26.92 / $67.61
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $7.59 / $9.12