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Utah 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 $11 · 10th–90th $11$110%50%100%$11Professionalmedian $23 · 10th–90th $9$1100%10%10th90th$23$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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $66.07 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $10.96 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $27.54 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $13.49 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $27.54 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $32.36 / $41.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $15.49 / $22.39
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.12 / $38.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $60.26
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.79 / $22.39
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $24.55 / $27.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $36.31 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $9.12 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.22 / $18.62 / $97.72