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Hawaii 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

Facilitymedian $43 · 10th–90th $37$500%10%20%10th90th$43Professionalmedian $71 · 10th–90th $35$2190%5%10th90th$71$20.0$50.0$100.0$200.0$500.0

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
$37.15 / $42.66 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $47.86 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $45.71 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $47.86 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $63.10 / $85.11
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $75.86 / $112.20
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $51.29 / $58.88
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $56.23 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $45.71 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $147.91 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $83.18 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $64.57 / $204.17
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $123.03 / $281.84
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $95.50
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $67.61 / $204.17