go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$17.78 / $30.90 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.77 / $23.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.23 / $19.05 / $74.13
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $102.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $14.13 / $39.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $17.78 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $75.86 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $14.79 / $29.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $47.86 / $154.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $102.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $39.81
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $52.48 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.80 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $32.36 / $151.36