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Indiana 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 $46 · 10th–90th $38$620%50%10th90th$46Professionalmedian $60 · 10th–90th $35$2190%10%10th90th$60$20.0$50.0$100.0$200.0$500.0$1.0K$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
$38.02 / $45.71 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $91.20 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $41.69 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $44.67 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $60.26 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $77.62 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $37.15 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $40.74 / $95.50
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $123.03 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $63.10 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $43.65 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $48.98 / $131.83