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Wisconsin 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 $21 · 10th–90th $18$680%20%10th90th$21Professionalmedian $32 · 10th–90th $9$1700%5%10%10th90th$32$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
$18.20 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $58.88 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $24.55 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.45 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $25.12 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.50 / $31.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $74.13 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $23.99 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $52.48 / $63.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $56.23 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $20.89 / $28.18
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $33.88 / $47.86
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $75.86 / $758.58
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $23.44 / $131.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $42.66 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $77.62 / $162.18
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $21.88 / $35.48
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $45.71 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $269.15
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $131.83 / $131.83
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$11.75 / $67.61 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $457.09 / $758.58
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $48.98 / $131.83
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $416.87 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $154.88 / $389.05
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $27.54 / $177.83
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $36.31 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $61.66 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $30.20 / $144.54