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Massachusetts 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.17 / $29.17 / $110.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $92.40 / $420.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.29 / $40.04 / $133.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.66 / $49.65 / $81.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.03 / $92.47 / $183.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $167.43 / $1,002.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.08 / $56.07 / $238.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.58 / $89.54 / $780.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $35.77 / $54.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.47 / $71.54 / $93.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.44 / $161.09 / $251.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.84 / $64.13 / $111.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.83 / $82.14 / $138.02
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $72.69 / $144.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $184.92 / $254.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.88 / $91.50 / $119.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.61 / $103.94 / $134.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $85.07 / $300.05
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.63 / $183.92 / $183.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $175.20 / $1,002.61
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.96 / $60.29 / $238.39
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.72 / $96.82 / $780.59
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $94.25 / $134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $147.37 / $251.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $48.94 / $93.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.54 / $58.09 / $165.46