go back

Delaware rates for HCPCS 76377

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.77 / $49.03 / $99.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $83.73 / $130.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.07 / $38.63 / $114.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.47 / $49.65 / $72.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $101.34 / $195.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.58 / $40.74 / $67.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.47 / $62.42 / $148.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.22 / $62.11 / $178.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.27 / $99.74 / $214.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.39 / $46.58 / $89.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.39 / $42.93 / $145.91