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Minnesota 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 $123 · 10th–90th $38$2750%10%10th90th$123Professionalmedian $91 · 10th–90th $38$2750%5%10th90th$91$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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 / $38.02 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $44.67 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $48.98 / $213.80
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $288.40
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $112.20 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $134.90 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $83.18 / $144.54
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $263.03
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $199.53
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $93.33
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $64.57 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $173.78 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $77.62 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $64.57 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $177.83 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $100.00 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $64.57 / $138.04