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Missouri 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 $65 · 10th–90th $40$1070%10%20%10th90th$65Professionalmedian $68 · 10th–90th $35$2190%5%10%10th90th$68$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
$39.81 / $64.57 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $46.77 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $46.77 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $28.18 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $47.86 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $35.48 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $87.10 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $41.69 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $44.67 / $58.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.12 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $58.88 / $154.88
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $120.23 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $53.70 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $54.95 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $199.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $47.86 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $42.66 / $107.15