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Virginia 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
$8.36 / $14.88 / $29.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $25.90 / $171.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $10.02 / $23.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.11 / $15.71 / $119.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $33.72 / $71.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.09 / $9.85 / $13.30
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.61 / $23.27 / $61.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $27.60 / $245.74
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.23 / $10.26 / $13.03
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.96 / $17.34 / $54.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.80 / $10.80 / $10.80
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
$20.59 / $41.34 / $162.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.44 / $20.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.33 / $24.02 / $148.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $29.38 / $34.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.42 / $10.41 / $12.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.05 / $19.27 / $22.67
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.98 / $16.55 / $33.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $28.00 / $111.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $43.17 / $154.93
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.92 / $13.60 / $21.16
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.07 / $26.89 / $109.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $34.71 / $184.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $12.01 / $19.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.56 / $20.02 / $150.53