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Illinois 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 $68 · 10th–90th $39$1150%20%10th90th$68Professionalmedian $74 · 10th–90th $36$2290%10%10th90th$74$1.0$5.0$20.0$100.0$500.0$2.0K

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
$38.90 / $67.61 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $51.29 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $50.12 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $53.70 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $60.26 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $173.78 / $562.34
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $95.50 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $63.10 / $281.84
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $46.77 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $48.98 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $128.82 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $61.66 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $52.48 / $141.25