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Idaho 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 $100 · 10th–90th $55$1000%50%10th$100Professionalmedian $74 · 10th–90th $36$2000%5%10%10th90th$74$10.0$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
$54.95 / $54.95 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $44.67 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $56.23 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $204.17
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $70.79 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $75.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $53.70 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $302.00 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $100.00 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $70.79 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $79.43 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $52.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $100.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $181.97
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $77.62
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.90 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $41.69 / $102.33