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Iowa 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 $78 · 10th–90th $37$1700%20%10th90th$78Professionalmedian $76 · 10th–90th $36$3020%5%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0$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
$37.15 / $61.66 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $48.98 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $48.98 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $190.55 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $87.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $102.33 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $151.36 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $70.79 / $323.59
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $57.54 / $208.93
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $151.36 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $56.23 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $60.26 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $190.55 / $251.19
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $91.20 / $125.89
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $89.13 / $158.49
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $190.55
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $87.10 / $95.50
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $97.72 / $100.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $125.89 / $295.12
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $64.57 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $48.98 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $85.11