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Maryland 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
$32.29 / $32.29 / $44.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $92.00 / $389.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.50 / $39.78 / $168.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.36 / $49.65 / $192.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.76 / $84.17 / $168.27
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.86 / $41.16 / $47.05
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.71 / $43.01 / $132.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $97.42 / $212.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.29 / $45.48 / $87.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.95 / $51.99 / $138.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.96 / $100.01 / $122.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.32 / $45.17 / $62.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.09 / $56.88 / $66.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.27 / $86.58 / $144.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.50 / $39.22 / $69.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.78 / $42.77 / $103.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $88.27 / $117.05
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.30 / $40.32 / $54.97
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.27 / $48.57 / $62.07