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Pennsylvania 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 $24 · 10th–90th $13$390%10%20%10th90th$24Professionalmedian $23 · 10th–90th $9$1320%10%10th90th$23$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$12.59 / $25.12 / $38.90
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
$8.91 / $12.02 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $23.99 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $11.22 / $13.80
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $31.62
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $11.75 / $15.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $54.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $9.77 / $18.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $16.22 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $44.67 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.24 / $12.30 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $28.18 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $12.59 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $21.88 / $28.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $41.69 / $138.04
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $20.42
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $26.92 / $125.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $42.66 / $48.98
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $10.23 / $14.45
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $32.36
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.75 / $15.14
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.59 / $16.22 / $32.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $42.66 / $257.04
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.49 / $51.29
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $25.12 / $147.91
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $48.98 / $181.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.33 / $12.02 / $12.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $70.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $9.33 / $12.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $13.80 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $11.22 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $18.62 / $109.65