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Nebraska 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 $115 · 10th–90th $78$3390%20%10th90th$115Professionalmedian $76 · 10th–90th $35$2190%10%10th90th$76$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
$77.62 / $114.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $60.26 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $54.95 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $67.61 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $69.18 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $72.44 / $75.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $177.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $83.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $89.13 / $125.89
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $147.91 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $70.79 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $67.61 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $158.49 / $269.15
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $83.18 / $125.89
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $75.86 / $141.25
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $269.15
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $85.11 / $125.89
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $114.82 / $141.25
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $141.25 / $199.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $72.44 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $64.57 / $107.15