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Tennessee 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
$45.93 / $77.00 / $147.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.83 / $73.34 / $325.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.83 / $14.50 / $98.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.96 / $66.48 / $227.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $38.02 / $39.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.94 / $10.40 / $21.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.27 / $20.66 / $20.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $42.23 / $104.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.96 / $14.45 / $23.40
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.34 / $23.55 / $82.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.80 / $10.80 / $11.60
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $39.81 / $160.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.17 / $13.30 / $21.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.88 / $23.20 / $145.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.68 / $100.00 / $132.00
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$29.10 / $53.18 / $53.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.59 / $761.56 / $761.56
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.00 / $132.00 / $132.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$525.26 / $705.08 / $705.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $36.57 / $132.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.26 / $11.60 / $20.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.14 / $20.84 / $111.05